4. HEADACHEHEADACHE
The most common cause of facial painThe most common cause of facial pain
next to odontogenic painnext to odontogenic pain
MIGRANEMIGRANE
Vascular disorderVascular disorder
sterile trigeminal inflammationsterile trigeminal inflammation
with aura , without aurawith aura , without aura
CLUSTER HEADACHECLUSTER HEADACHE
conjunctiva injection,lacrimation,nasalconjunctiva injection,lacrimation,nasal
conjestion,rhinorrhea,miosis,ptosisconjestion,rhinorrhea,miosis,ptosis
8. TRIGEMINAL NEURALGIATRIGEMINAL NEURALGIA
Severe, unilateral pain in distributionSevere, unilateral pain in distribution
of trigeminal nerve.of trigeminal nerve.
Stabbing pain in seconds.Stabbing pain in seconds.
Grimace (tic douloureux)Grimace (tic douloureux)
Type I (Idiopathic or primary), typeType I (Idiopathic or primary), type
II (secondary)II (secondary)
Commonly after 50 y/o, F/m=2/1Commonly after 50 y/o, F/m=2/1
Tic convulsifTic convulsif
10. TRIGEMINAL NEURALGIATRIGEMINAL NEURALGIA
Differential diagnosisDifferential diagnosis
Geniculate neuralgiaGeniculate neuralgia
in sensory component of VIIin sensory component of VII
commonly in herpetic infectioncommonly in herpetic infection
Ramsay hunt syndromeRamsay hunt syndrome
V nerve neuritis with tumor or otherV nerve neuritis with tumor or other
pathologypathology
12. TRIGEMINAL NEURALGIATRIGEMINAL NEURALGIA
Differential diagnosisDifferential diagnosis
Atypical facial painAtypical facial pain
pain with unknown originpain with unknown origin
deep burning, aching, constantdeep burning, aching, constant
poorly localizedpoorly localized
independent to nerve distributionindependent to nerve distribution
areaarea
13. BURNING MOUTH SYNDROMEBURNING MOUTH SYNDROME
In more than 40% of women (postIn more than 40% of women (post
menoposal)menoposal)
Burning in oral regionBurning in oral region
No pathologic changesNo pathologic changes
Changes in esteradiol level effect onChanges in esteradiol level effect on
sensory branches of VII (Chordasensory branches of VII (Chorda
thympany)thympany)