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Previous Volume 355:183-188 July 13, 2006 Number 2 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

A 61-year-old man was seen in a specialty clinic at this hospital because of facial pain. The patient had been in his usual state of health until eight months earlier, when intermittent facial pain developed. The pain had two components. One was a very sharp, electrical or lancinating pain that was precipitated by eating, talking, or touching his moustache; it involved the entire left side of the face but was most prominent over the maxilla, lips, and lower jaw. The other component was a duller, throbbing pain present in the same areas that had been relatively unremitting since it began. . . . [Full Text of this Article]

Differential Diagnosis

Trigeminal Neuralgia

Causes of Secondary Trigeminal Neuralgia

Atypical Facial Pain

Dr. Fred G. Barker II's Diagnosis

Diagnostic Discussion

Discussion of Management

Percutaneous Rhizotomy

Microvascular Decompression

Anatomical Diagnosis

Source Information

From the Neurosurgical Service (E.E., F.G.B.) and the Department of Radiology (J.D.R.), Massachusetts General Hospital; and the Departments of Surgery (E.E., F.G.B.) and Radiology (J.D.R.), Harvard Medical School.

Related Letters:

Case 21-2006: A Man with Left-Sided Facial Pain
Vandertop W. P., Lagerwaard F. J., Guzzi G., Eskandar E., Rabinov J., Barker F. G. II
Extract | Full Text | PDF  
N Engl J Med 2006; 355:2375-2376, Nov 30, 2006. Correspondence

This article has been cited by other articles:

• Vandertop, W. P., Lagerwaard, F. J., Guzzi, G., Eskandar, E., Rabinov, J., Barker, F. G. II (2006). Case 21-2006: A Man with Left-Sided Facial Pain. NEJM 355: 2375-2376 [Full Text]