Skip to main content Accessibility help
×
Home
Hostname: page-component-568f69f84b-4g88t Total loading time: 0.153 Render date: 2021-09-19T02:05:36.671Z Has data issue: true Feature Flags: { "shouldUseShareProductTool": true, "shouldUseHypothesis": true, "isUnsiloEnabled": true, "metricsAbstractViews": false, "figures": true, "newCiteModal": false, "newCitedByModal": true, "newEcommerce": true, "newUsageEvents": true }

Atypical Facial Pain and Depression

Published online by Cambridge University Press:  29 January 2018

R. G. Lascelles*
Affiliation:
Department of Neurology, Guy's Hospital, London, S.E.$1

Extract

Prolonged facial pain has long been a source of frustration to the medical profession, both from the diagnostic and therapeutic standpoints. The difficulty arises not in the “typical” facial pain syndromes such as trigeminal neuralgia, migrainous neuralgia or post-herpetic neuralgia, nor with pain due to diseases of the teeth, throat, nose, eyes and ears, but in the deep, poorly localized vaguely described pain which does not adhere to a strict anatomical distribution. The latter symptom complex has been given many names, but in spite of this is a remarkably uniform syndrome. It is characterized by pain that is felt deep in the soft tissues or the bone, rather than in the superficial tissues as occurs so often in the typical neuralgias, is poorly localized and vaguely described. The pain may be felt in regions supplied by the fifth and ninth cranial nerves and the second and third cervical nerves. Its distribution does not conform to the peripheral distribution of these nerves, but may involve portions of the sensory supply of two or more of them and may cross the mid-line. In general the pain is constant and endures for long periods of weeks to years. It is unusual to find trigger zones or clear-cut precipitating factors, and the pain is rarely excruciating.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1966 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Campbell, A. M. G. and Lloyd, J. K. (1954). Lancet, ii, 1034.CrossRef
Costen, J. B. (1934). Ann. Otol. Rhin. and Laryn., 43, 1.CrossRef
Davies, J. V. S. A. (1961). Brit. med. J., ii, 1527.
Elkington, J. St. C. (1946). In A Textbook of the Practice of Medicine (ed. Price, F.), 7th edition.
Engel, G. L. (1951). Psychosomat. Med., 13, 375.CrossRef
Fay, T. (1927). Arch. Neurol. and Psychiat., 18, 309.
Gainsborough, H. and Slater, E. (1946). Brit. med. J., ii, 253.CrossRef
Hamilton, M. (1960). J. Neurol. Neurosurg. Psychiat., 23, 56.CrossRef
Jones, D. and Hull, S. B. (1962). Lancet, i, 541.CrossRef
Kerr, F. W. L. (1960). Proc. Staff Meetings Mayo Clin., 36, 254.
Mayer-Gross, W. Slater, E. and Roth, M. (1954). Clinical Psychiatry. London: Cassell.Google Scholar
McElin, T. W. and Horton, D. T. (1947). Ann. intern. Med., 27, 749.
Neuwirth, E. (1952). Ibid., 37, 75.
Palmer, H. D. and Jones, M. S. (1939). A.M.A. Arch. Neurol. Psychiat., 41, 856.
Pollitt, J. D. (1960). J. ment. Sci., 106, 93.CrossRef
Sargant, W. (1960). Psychosomatics, 1, 14.CrossRef
Sargant, W. (1961). Brit. med. J., i, 225.CrossRef
Shorvon, H. (1946). Proc. Roy. Soc. Med., 39, 779.
Webb, H. E. and Lascelles, R. G. (1962). Lancet, i, 355.CrossRef
West, E. D. and Dally, P. J. (1959). Brit. med. J., i, 1491.CrossRef
Williams, D. (1963). In Trans. Amer. Neurol. Assoc., 88, 17.
Ziegler, L. H. (1939). Psychiat. Quart., 13, 689.CrossRef
Submit a response

eLetters

No eLetters have been published for this article.
171
Cited by

Send article to Kindle

To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Atypical Facial Pain and Depression
Available formats
×

Send article to Dropbox

To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

Atypical Facial Pain and Depression
Available formats
×

Send article to Google Drive

To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

Atypical Facial Pain and Depression
Available formats
×
×

Reply to: Submit a response

Please enter your response.

Your details

Please enter a valid email address.

Conflicting interests

Do you have any conflicting interests? *