Trigeminal Nerve Pain, V1 Distribution: Representative Case

  • James Y. SuenEmail author
  • Chelsey Smith


The patient is a 34-year-old white female with a history of an auto accident 4 years previously, who sustained a non-displaced fracture of her orbital rim. Since that injury she has had severe pain in her supraorbital and supratrochlear nerves. Her pain was constant, and she required daily narcotic pain medications to make the pain tolerable.


Medical therapy Supraorbital nerve Supratrochlear nerve Nerve blocks Lidocaine Epinephrine Kenalog 


  1. 1.
    Bartsch T, Goadsby PJ. Increased responses in trigeminocervical nociceptive neurons to cervical input after stimulation of the dura mater. Brain. 2003;126:1801–13.CrossRefPubMedGoogle Scholar
  2. 2.
    Levin M. Nerve blocks in the treatment of headache. Neurotherapeutics. 2010;7:197–203.CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Otolaryngology—Head and Neck SurgeryUniversity of Arkansas for Medical SciencesLittle RockUSA
  2. 2.ENTcareDothanUSA

Personalised recommendations