Clinical Pearl; Left Car...
Highlights
- Clinical pearl; Left Carotid body tumor operated @OSH 4 months back. Young 👨now presents with excruciating , transient shocklike pain around the ear, on opening the mouth. ⬇️ OSH CT
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- Big scar on his neck and pain roughly in the encircled area. Deficits are left horners, left vocal cord palsy, left XIIth nerve palsy
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- Possibilities are (View Tweet)
- For those who cannot wait! New MRI does not show any recurrence. Initially i thought it was an Auriculotemporal or Arnold's (vagal br to ear) neuralgia post operatively.
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- However, sensory exam provided a clue- he has hyperalgesia in this pattern
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- It corresponds to the territory of the Greater auricular nerve (https://t.co/YMtK0ucZiQ). Tinel's sign is also elicitable over the scar. Final Dx-Greater auricular neuralgia.
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Clinical Pearl; Left Car...
Highlights
- Clinical pearl; Left Carotid body tumor operated @OSH 4 months back. Young 👨now presents with excruciating , transient shocklike pain around the ear, on opening the mouth. ⬇️ OSH CT
(View Tweet)
- Big scar on his neck and pain roughly in the encircled area. Deficits are left horners, left vocal cord palsy, left XIIth nerve palsy
(View Tweet)
- Possibilities are (View Tweet)
- For those who cannot wait! New MRI does not show any recurrence. Initially i thought it was an Auriculotemporal or Arnold's (vagal br to ear) neuralgia post operatively.
(View Tweet)
- However, sensory exam provided a clue- he has hyperalgesia in this pattern
(View Tweet)
- It corresponds to the territory of the Greater auricular nerve (https://t.co/YMtK0ucZiQ). Tinel's sign is also elicitable over the scar. Final Dx-Greater auricular neuralgia.
(View Tweet)