Persistent idiopathic facial pain.

摘要

The new term, "persistent idiopathic facial pain," is an improvement over the older vague one, "atypical facial pain," which was introduced by Frazier and Russell in 1924.CLINICAL HISTORY A 57-year-old woman was seen for a third neurological opinion with a 1 to 1 1/2 year history of facial pain. She described a dull ache or burning around the medial canthus of the left eye, the left side of the nose, the left naso-labial fold, and the left side of the lip. The pain typically started about 8 AM and had an intensity of 9/10 all day. Amitriptiline, nortriptyline, gabapentin, zonisimide, levetiracetam, duloxetine, and tramadol all in moderate-to-high doses have proven ineffective. Hydrocodone, it was reported, moderately decreased the pain. A left upper molar extraction did not help. Cryoablation of the left infraorbital nerve was of no benefit.