Metrics details. Pain is a very commonly reported symptom and often drives patients to seek medical attention; however, it can prove a very difficult diagnostic conundrum and even more challenging to treat effectively. Accurately determining the primary pain generator is key, as certain conditions have efficacious medical and surgical treatments. We present a rare case of a man with multiple sclerosis presenting with spinal cord seizures causing dermatomal pain. While pain has been reported in the context of motor symptoms attributed to spinal cord seizures in a small number of spinal cord conditions, this case represents the first report of pain exclusively associated with spinal cord demyelination in multiple sclerosis. We present the case of a year-old Caucasian male patient with multiple sclerosis who reported a 5-year history of progressive pain in his left retroauricular region and superior left shoulder.
What Is Cervicogenic Headache?
Role of superficial cervical plexus block in somatic referred cervical spine pain
For many patients and doctors, issues that may relate to cervical pain are often complex and frustrating. It is not easy to determine why a patient suffers cervical, occipital or temporal pain, determine an accurate diagnosis, or create a successful treatment plan. In this article, I hope to highlight some of the common causes of cervical-related pain and referred pain and present a case report that illustrates the premise of referred TMJ pain from cervical injury. Bogduk 1 and others have stated that approximately half of patients suffering cervical-related pain are as a result of changes with the facet joint.
Cervical Disc Disease with Referred Pain to TMJ
We report a very rare case in which a patient believed to have auriculotemporal neuralgia due to the repeated recurrence of paroxysmal stabbing pain in the preauricular temporal region for four years developed occipital neuralgia, which finally improved with decompression of the greater occipital nerve GON. The pain of occipital neuralgia has been suggested to be referred to the frontoorbital V1 region through trigeminocervical interneuronal connections in the trigeminal spinal nucleus. However, the reports of such cases are very rare. In occipital neuralgia, the pain referred to the ipsilateral facial trigeminal region reportedly also occurs in the V2 and V3 distributions in addition to that in the V1 region. In the existing cases of referred trigeminal pain from occipital neuralgia, continuous aching pain is usually induced, but in the present case, typical neuralgic pain was induced and diagnosed as idiopathic auriculotemporal neuralgia.
Cervicogenic headache CGH occurs when pain is referred from a specific source in the neck up to the head. This pain is commonly a steady ache or dull feeling, but sometimes the pain intensity can worsen. See Neck Pain and Cervicogenic Headache.