• World Neurosurg · Jan 2020

    Case Reports

    Persistent idiopathic facial pain originated from cervical abnormities: a case report: Cervicogenic facial pain: a case report.

    • Yuan-Jie Zeng.
    • Joint Surgery and Sport Medicine Department, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Changsha, China. Electronic address: yuanjie@me.com.
    • World Neurosurg. 2020 Jan 1; 133: 248-252.

    BackgroundPersistent idiopathic facial pain is characterized by persistent facial or oral pain in the absence of a neurologic deficit. This underexplored pain may be conducted by various nerves, including cranial nerves and upper cervical spinal roots, and its etiology is unclear.Case DescriptionA patient presented with persistent idiopathic facial pain associated with occipital muscle stiffness after an improper neck massage. The patient achieved almost complete pain relief by coblation of right upper cervical nerves (C1 and C2 spinal roots) followed by continuous cervical epidural analgesia for a period of 3 weeks. The analgesic effect was stable during the 3-month follow-up period.ConclusionsPersistent idiopathic facial pain may be cervicogenic, and treatments focusing on cervical spinal roots may provide satisfactory pain control in patients with cervical abnormalities.Copyright © 2019 Elsevier Inc. All rights reserved.

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