Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description Surgical technique Use in case of failure of perineal and sphincter rehabilitation. Several surgical techniques have been
We will first recall the notion of cicatricial neuropathy. The causes of posterior pain of the head of scarring origin are (non-exhaustive): Brain surgery: Open surgery (trephination) Stereotaxic surgery Intraoperative head fixation system Chronic wound
Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Temporal muscle Masseter muscle Orbicularis muscle of the eye
Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Masseter muscle Sternocleidomastoid muscle Lateral pterygoid muscle Medial pterygoid muscle
Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Occipito-frontal muscle Sternocleidomastoid muscle Semispinatus muscle Zygomaticus major muscle
A number of muscles in the neck and head can be responsible for pain referred to the temporal part of the head. Trapezius muscle Splenius muscle Sternocleidomastoid muscle Temporal muscle Suboccipital muscles Semispinatus muscle
The following muscles may be responsible for pain in the back of the head: Trapezius muscle Semispinatus muscle Splenius muscle of the neck Suboccipital muscles Occipito-frontal muscle Sternocleidomastoid muscle Digastric muscle Temporal muscle
Anatomical reminder The hip adductor muscles are located in the medial and inner part of the thigh between the quadriceps group, in front, and the muscles of the posterior compartment of the thigh behind. From
Anatomical reminder The posterior part of the gluteus medius muscle sits deep within the gluteus maximus muscle. Its lower part covers the small gluteus muscle. The proximal insertions of the muscle are on the anterior
Description of the perineal pelvic innervation Perineal pelvic innervation by somatic nerves includes: The genitocrural nerve and the iliohypogastric nerve from levels D12-L1-L2, The cluneal (or lesser sciatic) nerve coming from L4-L5-S1 and The pudendal
Description of referred pain of the head and associated muscles. Myofascial syndrome of the lateral pterygoid muscle. Myofascial syndrome of the medial pterygoid muscle. Myofascial syndrome of the masseter muscle. Myofascial syndrome of the digastric
Diagnostic criteria for chronic tension headache defined by the International Headache Society. (Headache Classification Comittee. The International Classification of Headache Disorders : 3rd edition beta versin. Cephalalgia 2013; 33:629-808). A. Headache present on at least 15
Diagnostic criteria for chronic migraine defined by the International Headache Society. (Headache Classification Comittee. The International Classification of Headache Disorders : 3rd edition beta versin. Cephalalgia 2013; 33:629-808). A. Headache present at least 15 days per
The prevalence of CCQ is between 2.5 and 4% of the population. List of main CCQs: Chronic de novo headache and hemicrania continua are very rare. Learn more about chronic migraine Learn more about chronic
Diagnostic Migraine management: aims to accurately diagnose migraine according to ICHD-3 criteria, check chronic migraine risk factors and comorbidities, to assess migraine-related problems disability and its severity, to evaluate the effectiveness and tolerability of current
Paroxysmal vertigo in children generally affects children between 2 and 4 years old, exceptionally over 10 years old. It lasts from a few seconds to a minute. Its frequency varies, from weekly to monthly access,
Composition du muscle occipito-frontal. Anatomy of the occipitofrontalis muscle. This muscle is composed of an anterior frontal part and an occipital part (in red). They are attached to an aponeurosis which covers the skull (in
The trigeminal nerve (V: anatomical reminder), the V divided into 3 territories V1, V2 and V3. Description : It is most often a woman over 50, frequent around 70 years. The pain is systematized in
Diagnostic criteria for new persistent daily headache defined by the International Headache Society. (Headache Classification Comittee. The International Classification of Headache Disorders : 3rd edition beta versin. Cephalalgia 2013; 33:629-808). Replaces the old daily chronic headache de novo.
Pre-orgasmic or orgasmic, a subarachnoid hemorrhage or arterial dissection should be investigated during the first attacks. Pre-orgasmic: Diffuse, dull bilateral headache, associated with muscle contraction (neck, jaws). occurring during and increasing with sexual arousal. It
Strictly unilateral pain, continuous for more than 3 months, associated with a dysautonomic sign (redness of the eye, tearing, runny nose, drooping and/or swelling of the eyelid) on the same side as the pain. The
It is very rare. It mainly affects women. The pain is moderate to severe. Bilateral, diffuse. It lasts from 30 minutes to 3 hours. Sensation of pressure, sometimes pulsating constriction. Awakening caused by headache. almost
It is a severe headache, of sudden onset, with a maximum reached in less than 1 minute, it lasts from 1 hour to 10 days and does not recur regularly. Requires extensive investigations because it
She must rule out cerebral hemorrhage or arterial dissection of the vessels of the head. The diagnostic criteria for IHS are: A-Pulsatile fulfilling criteria B and C B- Lasting from 5 min to 48 h
Diagnostic criteria: A. headache fulfilling criteria B,C,D B. brutal, lasting 1sec to 30 minutes C. caused by coughing and/or Valsalva (blocked forced expiration), D. not attributed to another condition. Before being called primary, we must
These are very specific, rare headaches, the treatment of which is poorly understood. A diagnostic assessment (brain MRI) is necessary to confirm their primary nature. these are: (alongside the duration of the crisis is noted)
Severe to intolerable pain located at the frontal and temporal level which can sometimes radiate towards the lower face. Neuropathic type crisis with electric shocks, sometimes pulsating burns. The attacks are short-lived, 5 seconds to
Rarer than cluster headaches. Clinical resemblance but shorter, very intense attack (2 and 30 minutes) and more frequent. Periorbital and temporal pain with runny nose, temporal sweat, eye redness, eyelid drooping. Seen at any age.
DIAGNOSTIC CRITERIA FOR FACIAL VASCULAR PAIN There are 5 essential criteria according to the IHS (the international headache society) to make the diagnosis of cluster headache. A: At least 5 crises meeting criteria B and
Three different forms are defined in the 2004 classification of the IHS (international headache society). 1-Cluster cluster headache (AVF) 2-Paroxysmal hemicrania. 3-The SUNCT.
Cyclic vomiting in the child. Cyclic vomiting syndrome (VCS) is a poorly understood migraine equivalent. The diagnosis of CVS is based on the criteria of the International Headache Society, in the absence of arguments in
Benign paroxysmal torticollis in children Benign paroxysmal pediatric torticollis is a rare functional disorder characterized by recurrent episodes of torticollis (head tilt to the side) in healthy children. It appears in the first year of
Affects children of school age (4% of children). The diagnostic criteria are: Duration from 1 to 72 hours. Pain of moderate or severe intensity. Dull or irritative in character. Median or peri-umbilical location or poorly
Minimum number of crisis for diagnosis Duration of crisis Crisis Frequency Aura Onset Duration Aura Duration Migraine without aura 5 24-72 h Migraine with aura 2 >5
Migraine aura may not be followed by headache, posing difficult diagnostic problems, especially in the absence of an identical history. Visual aura It is the most common aura; it characterizes “ophthalmic migraine”. The scintillating scotoma
Certain substances or medications are responsible for headaches through their direct actions (side effects), for other substances it is their absence which is responsible for the pain (state of withdrawal). In the first case, it
It is extremely common to have headaches after head and/or neck trauma. They can occur even if the trauma is minor. Clinical description The syndrome associates: – Daily headaches – Dizziness – Insomnia – Memory
Definition: It is a chronic daily headache (CDH) which affects subjects previously suffering from a primary headache initially episodic in whom the excessive use of attack treatment induces the transformation of the episodic expression towards
Tension headache This headache, once considered essentially psychogenic, is very common since it affects between 30% and 78% of the general population. The diagnosis is made after at least ten episodes of headache: These episodes