Complex auricular neuralgia treated with GAN and facet blocks – Video abstract 126923 скачать в хорошем качестве

Complex auricular neuralgia treated with GAN and facet blocks – Video abstract 126923

Video abstract of case report paper “A case report of complex auricular neuralgia treated with the great auricular nerve and facet blocks” published in the Journal of Pain Research by Eghtesadi M, Leroux E, Vargas-Schaffer G. Background: 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. Case: 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. Conclusion: 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. Read the full paper here: https://www.dovepress.com/a-case-repo...