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'''For patient information, click [[Neuralgia (patient information)|here]]
'''For patient information, click [[Neuralgia (patient information)|here]]
{{Neuralgia}}{{SI}}
{{Neuralgia}}{{SI}}
{{CMG}}
{{CMG}} '''Associate Editor-In-Chief:'''{{SM}}


==Postherpetic neuralgia==
{{SK}}  Nerve pain; painful neuropathy; neuropathic pain
==[[Neuralgia overview|Overview]]==


Not all of those diagnosed with shingles go on to experience postherpetic neuralgia, which can be more painful than shingles.  The pain and sensitivity can last for months or even years.  The pain is usually in the form of an intolerable sensitivity to any touch but especially light touch.  Postherpetic neuralgia is not restricted to the face; it can occur anywhere on the body but usually occurs at the location of the shingles rash. [[clinical depression|Depression]] is not uncommon due to the pain and social isolation during the illness.  Treatment for postherpetic neuralgia is the same as for other forms.
==[[Neuralgia historical perspective|Historical Perspective]]==


==Atypical (trigeminal) neuralgia==
==[[Neuralgia classification|Classification]]==


{{Main|Trigeminal neuralgia}}
==[[Neuralgia pathophysiology|Pathophysiology]]==


The symptoms of atypical neuralgia (ATN) tend to be vague and misleading.  This may be the most misdiagnosed form of neuralgia.  The symptoms can be mistaken for [[migraines]], dental problems such as [[TMJ]], musculoskeletal issues, and [[hypochondriasis]].  This form of neuralgia is extremely rare, thus also contributing to the misdiagnosis.  ATN can have a wide range of symptoms and the pain can fluctuate in intensity from mild aching to a crushing or burning sensation, and also to the extreme pain experienced with the more common trigeminal neuralgia.
==[[Neuralgia causes|Causes]]==


The pain from ATN is usually less than that of trigeminal neuralgia, but is nearly continuous and periods of remission are rare.  This form can also cause pain in the back of the scalp and neck.
==[[Neuralgia differential diagnosis|Differentiating Neuralgia from other Diseases]]==


Many attempts have been made to link ATN with psychological issues, though modern studies have shown no link.  Theories have suggested that [[infections]] of the [[teeth]] or [[sinuses]], [[Blood vessel|vascular]] compression, [[physical trauma]], or past viral infections could be a cause.  Evidence thus far seems to be anecdotal.  Another interesting aspect is that this form affects men and women equally, unlike the trigeminal neuralgia, which is much more common in women than men.
==[[Neuralgia epidemiology and demographics|Epidemiology and Demographics]]==
==[[Neuralgia risk factors|Risk Factors]]==
==[[Neuralgia screening|Screening]]==


ATN is also known as Atypical Facial Pain (ATP) or Persistent Idiopathic Facial Pain (PIFP).
==[[Neuralgia natural history, complications and prognosis|Natural History, Complications and Prognosis]]==


==See also==
==Diagnosis==
[[Neuralgia history and symptoms|History and Symptoms]] | [[Neuralgia physical examination|Physical Examination]] | [[Neuralgia laboratory findings|Laboratory Findings]] | [[Neuralgia CT|CT]] | [[Neuralgia MRI|MRI]] | [[Neuralgia other imaging findings|Other Imaging Findings]] | [[Neuralgia other diagnostic studies|Other Diagnostic Studies]]
 
==Treatment==
[[Neuralgia medical therapy|Medical Therapy]] | [[Neuralgia surgery|Surgery]] | [[Neuralgia primary prevention|Primary Prevention]] | [[Neuralgia secondary prevention|Secondary Prevention]] | [[Neuralgia cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Neuralgia future or investigational therapies|Future or Investigational Therapies]]
 
==Case Studies==
[[Neuralgia case study one|Case #1]]
 
==Related Chapters==
*[[Nerve]]
*[[Nerve]]
*[[Neuropathy]]
*[[Neuropathy]]
*[[Neuritis]]
*[[Neuritis]]
*[[Cranial nerves]]
*[[Cranial nerves]]
== Literature ==
*Shankland, Dr. Wesley E. ''Face the Pain - The Challenge of Facial Pain'', (Omega Publishing, 2001) [http://www.drshankland.com/] Dr. Shankland is a former associate editor of ''The Journal of Craniomandibular Practice'' [http://www.cranio.com].
*Carol Jay Levy ''A Pained Life; A Chronic Pain Journey'', (Xlibris 2003) ISBN: 1-4134-0609-2. [https://www2.xlibris.com/bookstore/bookdisplay.asp?bookid=18435] Ms. Levy suffered from chronic pain for more than 2 decades. Her book tells the story of her pain and search for relief.
*R.C.Sherriffs 'Journeys End'; one of the lesser characters lies about suffering form Neuralgia in order to achieve a chance to go home.


[[Category:Neurology]]
[[Category:Neurology]]

Latest revision as of 21:19, 5 March 2013

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor-In-Chief:Shivali Marketkar, M.B.B.S. [2]

Synonyms and keywords: Nerve pain; painful neuropathy; neuropathic pain

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Neuralgia from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | CT | MRI | Other Imaging Findings | Other Diagnostic Studies

Treatment

Medical Therapy | Surgery | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case #1

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