| Title |
A case report of complex auricular neuralgia treated with the great auricular nerve and facet blocks
|
|---|---|
| Published in |
Journal of Pain Research, February 2017
|
| DOI | 10.2147/jpr.s126923 |
| Pubmed ID | |
| Authors |
Marzieh Eghtesadi, Elizabeth Leroux, Grisell Vargas-Schaffer |
| Abstract |
The great auricular nerve is a cutaneous branch of the cervical plexus originating from the C2 and C3 spinal nerves. It innervates the skin over the external ear, the angle of the mandible and the parotid gland. It communicates with the ansa cervicalis. Great auricular neuralgia is rarely diagnosed in clinical practice and can be refractory. We present a new approach using ultrasound-guided nerve blocks. We present a case of a 41-year-old female with paroxysmal ear pain accompanied by dysautonomia, tingling in the tongue, dysphagia, dysarthria and abdominal symptoms. No significant findings were found on cervical and brain imaging. The patient responded partially to a great auricular nerve block. A combined approach using this block with facet block of C2 and C3 induced a more pronounced and prolonged benefit. Great auricular neuralgia is not often encountered in practice and can be accompanied by symptoms originating from the ansa cervicalis network. A combined approach of nerve blocks can be considered in refractory cases. |
Mendeley readers
The data shown below were compiled from readership statistics for 38 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 38 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Researcher | 6 | 16% |
| Other | 5 | 13% |
| Student > Master | 4 | 11% |
| Student > Postgraduate | 2 | 5% |
| Professor | 2 | 5% |
| Other | 3 | 8% |
| Unknown | 16 | 42% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 16 | 42% |
| Nursing and Health Professions | 2 | 5% |
| Neuroscience | 2 | 5% |
| Social Sciences | 1 | 3% |
| Biochemistry, Genetics and Molecular Biology | 1 | 3% |
| Other | 0 | 0% |
| Unknown | 16 | 42% |
Attention Score in Context
This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 19 February 2017.
All research outputs
#20,406,219
of 22,955,959 outputs
Outputs from Journal of Pain Research
#1,597
of 1,756 outputs
Outputs of similar age
#356,102
of 420,385 outputs
Outputs of similar age from Journal of Pain Research
#54
of 58 outputs
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