Clinical Neurology and Neurosurgery
Volume 112, Issue 6 , Pages 496-497, July 2010

Posttraumatic mid-facial pain and Meige's syndrome relieved by pressure on the nasion and retrocollis

  • Daniel E. Jacome

      Affiliations

    • Corresponding Author InformationCorrespondence address: 17 Silvercrest Circle, Greenfield, MA 01301, USA. Tel.: +1 413 773 8808.

Dartmouth Hitchcock Medical Center, Department of Neurology, Lebanon, NH, USA

Received 12 April 2009; received in revised form 15 January 2010; accepted 22 January 2010.

Abstract 

A 42-year-old farmer developed persistent mid-facial segmental pain and Meige's syndrome several months after suffering facial trauma and a fracture of the nose. He was not afflicted by systemic ailments, had no family history of movement disorder and no history of exposure to neuroleptic drugs. He was capable of suppressing his facial pain by performing a ritual that included forcefully tilting his head backwards, lowering of his eyelids and applying strong pressure to his nasion. Exceptionally dystonic movements and elaborate behavioral rituals may serve as a mechanism of pain suppression.

Keywords: Complex regional pain syndrome, Dystonia, Facial pain, Headache, Meige's syndrome, Retrocollis

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PII: S0303-8467(10)00029-6

doi:10.1016/j.clineuro.2010.01.007

Clinical Neurology and Neurosurgery
Volume 112, Issue 6 , Pages 496-497, July 2010

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