Perth Radiological Clinic, 127 Hamersley Road, Subiaco, Western Australia 6008, Australia; Department of Surgery, University of Western Australia, 35 Stirling Highway, Perth, Western Australia 6009, Australia.
Department of Medicine and Radiology, University of Melbourne, Grattan Street, Parkville, Victoria 3010, Australia; Department of Dentistry, University of Western Australia, 35 Stirling Highway, Perth, Western Australia 6009, Australia.
Neuroimaging Clin N Am. 2021 Nov;31(4):485-508. doi: 10.1016/j.nic.2021.05.008.
We review and illustrate the radiology of facial pain, emphasizing trigeminal neuralgia, relevant anatomy, current classification, concepts about etiology, and the role of imaging and its influence on the choice of treatment. We discuss glossopharyngeal neuralgia, other neuropathic causes of facial pain, postinflammatory and neoplastic causes, and nociceptive (end-organ) causes of facial pain, as well as referred otalgia. Other conditions that may present with facial pain, including trigeminal autonomic cephalgias and giant cell arteritis, are reviewed briefly. We discuss the elements of a comprehensive MR imaging protocol to enable detection of these diverse causes of facial pain.
我们回顾并阐述了面部疼痛的放射学表现，重点介绍了三叉神经痛、相关解剖结构、当前分类、病因概念，以及影像学的作用及其对治疗选择的影响。我们讨论了舌咽神经痛、面部疼痛的其他神经病理性原因、炎症后和肿瘤性原因以及伤害感受性（终末器官）原因引起的面部疼痛，以及牵涉性耳痛。我们还简要回顾了可能表现为面部疼痛的其他情况，包括三叉神经自主神经性头痛和巨细胞动脉炎。我们讨论了综合磁共振成像方案的要素，以检测这些不同原因引起的面部疼痛。
