Diagnostic approach of the patient with facial pain
review of the literature
DOI:
https://doi.org/10.47149/pemo.v2i2.3841Keywords:
Facial Pain, Facial neuralgia, Trigeminal Nerve Disease, DiagnosisAbstract
The aim of the study is to review and describe the main available evidence related to the diagnostic approach to facial pain, especially in the primary care setting, and to provide a tool that synthesizes the findings.This article is a literature review. A search was carried out in databases such as PubMed, SciELO, LILACS, Google Academic, and Scopus. Keywords "facial pain", "facial neuralgia", "trigeminal nerve disease", and "diagnosis" were used. It was found that facial pain should be approached syndromatically and etiologically, identifying aspects of pain suggestive of central or peripheral neurological alteration, and conducting a complete clinical and paraclinical study to identify the etiology. We conclude that facial pain requires a comprehensive approach and should be a central topic in teaching programs in medicine and dentistry.
Downloads
References
AMRUTKAR, C.; BURTON, E. V. Tolosa-Hunt Syndrome. [s.l.] StatPearls Publishing, 2020.
ANANTHAN, S.; BENOLIEL, R. Chronic orofacial pain. Journal of Neural Transmission, v. 127, n. 4, p. 575–588, 1 abr. 2020.
BANG, S. et al. Prevalence of common causes of neuropathic pain in Korea: population-based observational study: Journal of International Medical Research, 28 nov. 2019.
BARRIO, M. T. A. DEL et al. Protocolo de diagnóstico diferencial del dolor craneofacial. Medicine - Programa de Formación Médica Continuada Acreditado, v. 12, n. 77, p. 4571–4575, abr. 2019.
BENOLIEL, R.; GAUL, C. Persistent idiopathic facial pain. Cephalalgia: An International Journal of Headache, v. 37, n. 7, p. 680–691, jun. 2017.
BENOLIEL, R.; TEICH, S.; ELIAV, E. Painful Traumatic Trigeminal Neuropathy. Oral and Maxillofacial Surgery Clinics of North America, Oral and Maxillofacial Pain. v. 28, n. 3, p. 371–380, 1 ago. 2016.
BERMUDEZ, R. A. I. et al. Cefaleas de localización y compromiso oculares. Iatreia, v. 18, p. 14, 2005.
BLUMENFELD, A.; NIKOLSKAYA, G. Glossopharyngeal neuralgia. Current Pain and Headache Reports, v. 17, n. 7, p. 343, jul. 2013.
BRANDENBURG, C.; PEREIRA, A. S. M.; FIALHO, L. M. F. Práticas reflexivas do professor reflexivo: experiências metodológicas entre duas docentes do ensino superior. Práticas Educativas, Memórias e Oralidades - Rev. Pemo, v. 1, n. 2, mai 2019. Disponível em: https://revistas.uece.br/index.php/revpemo/article/view/3527 Acessado em: 18 dez. 2019.
CHOI, I.; JEON, S. R. Neuralgias of the Head: Occipital Neuralgia. Journal of Korean Medical Science, v. 31, n. 4, p. 479–488, abr. 2016.
CRUYSSEN, F. V. DER et al. Signs and symptoms, quality of life and psychosocial data in 1331 post-traumatic trigeminal neuropathy patients seen in two tertiary referral centres in two countries. Journal of Oral Rehabilitation, v. n/a, n. n/a, 10 jul. 2020.
DE COO, I. et al. A Case Report About Cluster-Tic Syndrome Due to Venous Compression of the Trigeminal Nerve. Headache, v. 57, n. 4, p. 654–657, abr. 2017.
DRAKE, R. L.; VOGL, A. W.; MITCHELL, A. Gray Anatomía para estudiantes. 3ra. ed. [s.l.] Elsevier, 2015.
EUGENIO TENHAMM, F.; MARIANA KAHN, C. Síndrome de dolor facial. Revista Médica Clínica Las Condes, v. 25, n. 4, p. 658–663, jul. 2014.
EVERS, S. Facial pain: Overlapping syndromes. Cephalalgia, v. 37, n. 7, p. 705–713, 1 jun. 2017.
GAGO-VEIGA, A. B. et al. How and when to refer patients diagnosed with secondary headache and other craniofacial pain in the Emergency Department and Primary Care: Recommendations of the Spanish Society of Neurology’s Headache Study Group. Neurologia (Barcelona, Spain), v. 35, n. 5, p. 323–331, jun. 2020.
GARZA, I. et al. Headache and Other Craniofacial Pain. In: Bradley’s Neurology in Clinical Practice. 7. ed. [s.l.] Elsevier, 2016. p. 1686–1719.
GONÇALVES, M. F.; GONÇALVES, A. M.; GONÇALVES, I. M. F. Aprendizagem baseada em problemas: uma abordagem no ensino superior na área da saúde. Práticas Educativas, Memórias e Oralidades - Rev. Pemo, v. 2, n. 1, 1 jan. 2020. Disponível em: https://revistas.uece.br/index.php/revpemo/article/view/3676 Acessado em: 15 jun. 2020.
IACONETTA, G. et al. Tolosa-Hunt Syndrome Extending in the Cerebellopontine Angle. Cephalalgia, v. 25, n. 9, p. 746–750, 1 set. 2005.
IHS. Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition. Cephalalgia: An International Journal of Headache, v. 38, n. 1, p. 1–211, 2018.
JÄÄSKELÄINEN, S. K. Differential Diagnosis of Chronic Neuropathic Orofacial Pain: Role of Clinical Neurophysiology. Journal of Clinical Neurophysiology, v. 36, n. 6, p. 422–429, nov. 2019.
JOANNA M. ZAKRZEWSKA. Orofacial Pain. Oxford: OUP Oxford, 2009.
KHAN, M. et al. Trigeminal Neuralgia, Glossopharyngeal Neuralgia, and Myofascial Pain Dysfunction Syndrome: An Update. Pain Research & Management, v. 2017, p. 7438326, 2017.
KLAZEN, Y. et al. Iatrogenic trigeminal post-traumatic neuropathy: a retrospective two-year cohort study. International Journal of Oral and Maxillofacial Surgery, v. 47, n. 6, p. 789–793, 1 jun. 2018.
KLINE, L. B.; HOYT, W. F. The Tolosa-Hunt syndrome. Journal of Neurology, Neurosurgery & Psychiatry, v. 71, n. 5, p. 577–582, 1 nov. 2001.
KOOPMAN, J. S. H. A. et al. Incidence of facial pain in the general population. PAIN®, v. 147, n. 1, p. 122–127, 15 dez. 2009.
LÓPEZ-ZUAZO AROCA, I.; SÁNCHEZ PALOMO, M. J.; SALINAS CUBILLAS, M. A. Dolor facial. Medicine - Programa de Formación Médica Continuada Acreditado, v. 11, n. 70, p. 4184–4197, jan. 2015.
MALLICK-SEARLE, T.; SNODGRASS, B.; BRANT, J. M. Postherpetic neuralgia: epidemiology, pathophysiology, and pain management pharmacology. Journal of Multidisciplinary Healthcare, v. 9, p. 447–454, 21 set. 2016.
MARÍN MEDINA, D. S.; GÁMEZ-CÁRDENAS, M. Neuralgia del trigémino: aspectos clínicos y terapéuticos. Acta Neurológica Colombiana, v. 35, n. 4, p. 193–203, 27 dez. 2019.
MUELLER, D. et al. Prevalence of trigeminal neuralgia and persistent idiopathic facial pain: a population-based study. Cephalalgia: An International Journal of Headache, v. 31, n. 15, p. 1542–1548, nov. 2011.
MUÑOZ-QUILES, C. et al. Impact of postherpetic neuralgia: A six year population-based analysis on people aged 50 years or older. Journal of Infection, v. 77, n. 2, p. 131–136, 1 ago. 2018.
NAROUZE, S. Occipital Neuralgia Diagnosis and Treatment: The Role of Ultrasound. Headache, v. 56, n. 4, p. 801–807, abr. 2016.
PEARCE, J. M. S. Glossopharyngeal neuralgia. European Neurology, v. 55, n. 1, p. 49–52, 2006.
PÉREZ-FLORES, M. I.; VELASCO-CASARES, M.; LORENZO-CARRERO, J. Parálisis dolorosa incompleta del III nervio causada por un aneurisma de la carótida interna-comunicante posterior. Archivos de la Sociedad Española de Oftalmología, v. 84, n. 1, p. 43–46, jan. 2009.
PERIS-CELDA, M. et al. Nervus intermedius and the surgical management of geniculate neuralgia. Journal of Neurosurgery, v. 131, n. 2, p. 343–351, 10 2018.
QUAIL, G. Facial pain - A diagnostic challenge. Australian Family Physician, v. 44, n. 12, p. 901–904, dez. 2015.
RODRIGUEZ PERALES, M. A.; SAYNES MARÍN, F. J.; HERNANDÉZ VALENCIA, G. Otorrinolaringología y cirugía de cabeza y cuello. 1era. ed. Mexico D.F: Mc Graw Hill, 2009.
SAGUIL, A.; KANE, S.; MERCADO, M. Herpes Zoster and Postherpetic Neuralgia. Prevention and Management. v. 96, n. 10, p. 8, 2017.
SALVETTI, A. et al. Incidence of herpes zoster and postherpetic neuralgia in Italian adults aged ≥50 years: A prospective study. Preventive Medicine Reports, v. 14, p. 100882, 1 jun. 2019.
SHAEFER, J. R.; KHAWAJA, S. N.; BAVIA, P. F. Sex, Gender, and Orofacial Pain. Dental Clinics of North America, Orofacial Pain. v. 62, n. 4, p. 665–682, 1 out. 2018.
SHAH, R. J.; PADALIA, D. Glossopharyngeal Neuralgia. In: StatPearls. Treasure Island (FL): StatPearls Publishing, 2020.
SINGH, P. M.; KAUR, M.; TRIKHA, A. An uncommonly common: Glossopharyngeal neuralgia. Annals of Indian Academy of Neurology, v. 16, n. 1, p. 1–8, 2013.
SIQUEIRA, S. R.; TEIXEIRA, M. J.; SIQUEIRA, J. T. Clinical Characteristics of Patients with Trigeminal Neuralgia Referred to Neurosurgery. European Journal of Dentistry, v. 3, n. 3, p. 207–212, jul. 2009.
SZOK, D. et al. Therapeutic Approaches for Peripheral and Central Neuropathic Pain. Behavioural Neurology, v. 2019, p. 8685954, 2019.
TANG, I. P. et al. Geniculate neuralgia: a systematic review. The Journal of Laryngology and Otology, v. 128, n. 5, p. 394–399, maio 2014.
TEPPER, S. J. Cranial Neuralgias. Continuum (Minneapolis, Minn.), v. 24, n. 4, Headache, p. 1157–1178, 2018.
THOMASSIN, J.-M. et al. Cirugía de las orejas despegadas. EMC - Cirugía Otorrinolaringológica y Cervicofacial, v. 10, n. 1, p. 1–17, 1 jan. 2009.
TOOSY, A. T.; MASON, D. F.; MILLER, D. H. Optic neuritis. The Lancet Neurology, v. 13, n. 1, p. 83–99, 1 jan. 2014.
VAN HECKE, O. et al. Neuropathic pain in the general population: A systematic review of epidemiological studies. PAIN, v. 155, n. 4, p. 654–662, abr. 2014.
WANG, B.; CALLISTA, B. Optic Neuritis Associated with Multiple Sclerosis: a Teaching Case Report. Optometric Education, v. 44, n. 3, p. 1–10, 2019.
WATSON, J. C.; SANDRONI, P. Central Neuropathic Pain Syndromes. Mayo Clinic Proceedings, v. 91, n. 3, p. 372–385, mar. 2016.
WILBRINK, L. A. et al. Cluster-tic syndrome: a cross-sectional study of cluster headache patients. Headache, v. 53, n. 8, p. 1334–1340, set. 2013.
WILHELM, H.; SCHABET, M. The Diagnosis and Treatment of Optic Neuritis. Deutsches Ärzteblatt International, v. 112, n. 37, p. 616–626, set. 2015.
ZAKRZEWSKA, J. M. FACIAL PAIN: NEUROLOGICAL AND NON-NEUROLOGICAL. p. 6, 2002.
ZAKRZEWSKA, J. M. Differential diagnosis of facial pain and guidelines for management. British Journal of Anaesthesia, v. 111, n. 1, p. 95–104, jul. 2013.
ZAKRZEWSKA, J. M. Chronic/Persistent Idiopathic Facial Pain. Neurosurgery Clinics of North America, v. 27, n. 3, p. 345–351, jul. 2016.
Published
How to Cite
Issue
Section
License
Copyright (c) 2020 Andres Felipe Mantilla Santamaria, Daniel Felipe Vera Osorio, Maria Alejandra Gonzalez Rincon, Linnel Estefania Padilla Guerrero, Luz Elena Caceres Jerez, Julian Andres Vera Campos (Autor)
This work is licensed under a Creative Commons Attribution 4.0 International License.