Sluder's Neuralgia (Sphenopalatine Neuralgia) ||Headache||Eye Pain||Neck pain ||Migraine

 

 

 

 

 

 

 

 

 

 

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Sluder's neuralgia, also known as sphenopalatine neuralgia, is a rare form of facial pain that originates in the sphenopalatine ganglion (a nerve cluster located in the pterygopalatine fossa behind the nose). This condition is characterized by recurring episodes of sharp or throbbing pain, often accompanied by other symptoms affecting the face, eyes, and nose.

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Symptoms of Sluder's Neuralgia

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The symptoms typically involve one side of the face and may include:

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1. Facial Pain: Sharp, burning, or throbbing pain around the nose, upper jaw, or behind the eyes.

2. Nasal Symptoms: Congestion, runny nose, or a sensation of fullness in the nasal cavity.

3. Eye Symptoms: Redness, tearing, or pain around the eye.

4. Referred Pain: Pain may radiate to the upper teeth, temple, or throat.

5. Other Symptoms: Ear pain, changes in taste, or tingling sensations in the face.

 

Causes and Triggers

 

Sluder's neuralgia is associated with irritation or inflammation of the sphenopalatine ganglion.

 

Common causes and triggers include:

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• Sinus infections or chronic sinusitis.

• Trauma to the facial or nasal region.

• Structural abnormalities such as a deviated nasal septum.

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• Irritation from allergies or environmental factors.

 

Diagnosis

 

Diagnosing Sluder's neuralgia can be challenging due to its overlapping symptoms with other facial pain conditions like trigeminal neuralgia or migraines.

Diagnosis typically involves:

• Detailed Medical History: Focusing on pain patterns and triggers.

• Physical Examination: Evaluation of nasal and sinus structures.

• Imaging Tests: CT or MRI scans to rule out structural issues or other conditions.

• Response to Treatment: Anesthetic block of the sphenopalatine ganglion may confirm the diagnosis.

 

Treatment Options

 

Treatment focuses on managing symptoms and addressing underlying causes.

 

Options include:

1. Medications:

   • Pain relievers (NSAIDs or opioids for severe cases).

   • Anticonvulsants or antidepressants to manage nerve pain.

2. Nerve Blocks:

   • Injection of anesthetic near the sphenopalatine ganglion to reduce pain.

3. Surgery:

   • For refractory cases, procedures like sphenopalatine ganglion ablation or nerve decompression may be performed.

4. Management of Underlying Causes:

   • Treating sinusitis or correcting a deviated septum may alleviate symptoms.

5. Complementary Therapies:

   • Physiotherapy, acupuncture, or relaxation techniques may help manage chronic pain.

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Prognosis

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With appropriate treatment, many patients experience significant relief from symptoms. However, chronic or recurrent cases may require long-term management and follow-up care.

For personalized care, consult our ENT team at Relentcare ENT centre, Kolazhy , Thrissur, Kerala