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Supratrochlear Nerve Block

  • Siddharth Chavali
  • Girija Prasad Rath
Chapter

Abstract

There has always been confusion regarding whether the symptoms of supraorbital neuralgia are caused by compressive lesions of the supraorbital nerve in isolation, or due to compression of the supraorbital and supratrochlear nerves in combination. Although these two nerves share the sensory innervation of the forehead, the supraorbital nerve is typically held accountable for neuralgic pain in this region. In a prospective study by Pareja and colleagues [1], pain was observed to be limited to the area supplied by the supratrochlear nerve. It offers insights on the best way to distinguish between supraorbital and supratrochlear neuralgia (Table 1).

References

  1. 1.
    Pareja JA, López-Ruiz P, Mayo D, Villar-Quiles R-N, Cárcamo A, Gutiérrez-Viedma Á, Lastarria CP, Romeral M, Yangüela J, Cuadrado ML. Supratrochlear neuralgia: a prospective case series of 15 patients. Headache. 2017;57:1433–42.CrossRefGoogle Scholar
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    Andersen NB, Bovim G, Sjaastad O. The frontotemporal peripheral nerves. Topographic variations of the supraorbital, supratrochlear and auriculotemporal nerves and their possible clinical significance. Surg Radiol Anat SRA. 2001;23:97–104.CrossRefGoogle Scholar
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    Pareja JA, Casanova I, Arbex A, Cuadrado ML. Infratrochlear neuralgia. Cephalalgia Int J Headache. 2015;35:1202–7.CrossRefGoogle Scholar
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    Villar-Quiles RN, García-Moreno H, Mayo D, Gutiérrez-Viedma Á, Ramos MI, Casas-Limón J, Cuadrado ML. Infratrochlear neuralgia: a prospective series of seven patients treated with infratrochlear nerve blocks. Cephalalgia. 2018;38:585–91.CrossRefGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Siddharth Chavali
    • 1
  • Girija Prasad Rath
    • 1
  1. 1.Department of Neuroanaesthesiology and Critical Care Neurosciences CentreAll India Institute of Medical SciencesNew DelhiIndia

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