RAMSAY HUNT1 in 1907 described a syndrome which he attributed to geniculate ganglion pathology consisting of herpes zoster, affecting a portion of the external ear, and facial palsy. Of 22 patients with Ramsay-Hunt’s syndrome, 18 (81%) showed more than eightfold increases in complement fixing antibody titer to the varicella-zoster virus. They are part of the sympathetic nervous system and supply the face and arm. The syndromes and symptoms discussed in this article include ear pain, sinus pain, herpes zoster (HZ) oticus (Ramsay Hunt), HZ ophthalmicus, facial nerve paralysis in adults and children, superior laryngeal neuralgia, trigeminal neuralgia, glossopharyngeal neuralgia, nervus intermedius (geniculate) neuralgia, and Raeder paratrigeminal syndrome. Unfortunately, very few insurance plans cover acupuncture treatments. Surgeons performing reconstruction in the head and neck must be aware of zoster in the postoperative period, and take measures to guard against zoster associated morbidity. exagerate such pains.
Occasionally, pain is referred from extraspinal disorders (particularly vascular, GI, or GU disorders). Some uncommon causes—spinal and extraspinal—are serious. In the other mechanical disorders, there are no specific lesions, or the findings (eg, disk bulging or degeneration, osteophytes, spondylolysis, congenital facet abnormalities) are common among people without neck or back pain, and thus are questionable as the etiology of pain. However, etiology of back pain, particularly if mechanical, is often multifactorial, with an underlying disorder exacerbated by fatigue, physical deconditioning, and sometimes psychosocial stress or psychiatric abnormality. These effects are temporary and last a few hours. Mechanical spine disorders can be serious if they compress the spinal nerve roots or, particularly, the spinal cord. Spinal cord compression may result from disorders such as tumors and spinal epidural abscess or hematoma.
A high index of suspicion, and close attention for a history of neuropathic pain preceding cutaneous lesions is crucial to allow prompt initiation of therapy. Common viral or bacterial infections that cause the cervical lymph nodes to swell, tuberculosis, osteomyelitis or infection of the vertebrae, and meningitis can also cause neck pain. Chowdhury is the leading objective auto injury doctor and personal injury doctor in Largo and the surrounding area (including Pinellas Park, Bradenton, and Lakeland) and is very experienced in the diagnosis and treatment of all auto-related injuries. For more information about our other services, such as stem cell therapy Largo, stem cell therapy Tampa, stem cell therapy Bradenton, stem cell therapy Pinellas Park, and stem cell therapy Lakeland, please contact Dr. Chowdhury directly at our objective accident clinic in Largo, which is open for patients Monday – Friday: 8:00 A.M. – 4:00 P.M.