Tilscher H
MMW Munch Med Wochenschr. 1978 May 12;120(19):661-4.
About one quarter of the pains in cervico-cranial syndromes in 50 adults are localized in the facial region. In 19 children more than half of the pains are projected into the face. In the discussion of the possibility of radiation mechanisms it is established that the radicular lesion is of minor importance here, as is the possible compression of a peripheral nerve. The fact is stresssed that "pseudoradicular" symptoms as an expression of a painful muscular tension causes painful radiation but that it is no explanation of radiation of pain into face. The most likely explanation for this is probably "projected" pain or referred pain which must be interpreted as an abnormal cortical reaction of a pain afferent at the trigeminal nucleus into the areas of the face formed like an onion skin.
在50名成年人中，约四分之一的颈颅综合征疼痛位于面部区域。在19名儿童中，超过一半的疼痛投射到面部。在讨论放射机制的可能性时，确定神经根病变在此处不太重要，外周神经可能受到的压迫也是如此。需要强调的是，“假性神经根”症状作为疼痛性肌肉紧张的一种表现会导致疼痛放射，但这并不能解释疼痛放射至面部的现象。对此最可能的解释可能是“投射性”疼痛或牵涉痛，这必须被解释为三叉神经核处疼痛传入神经的异常皮质反应，涉及面部呈洋葱皮样分布的区域。
