What Is the Supraorbital Nerve?

The supraorbital nerve is the peripheral branch of the first branch of the trigeminal nerve, which is superficial. Supraorbital neuralgia refers to persistent or paroxysmal pain in the range of the supraorbital nerve distribution (forehead). Supraorbital neuralgia is often intermittent intermittent or bilateral orbital orbital orbital pain of unknown cause. There is obvious tenderness at the supraorbital notch, but there is no organic disease in the eyeball and its appendages. . More common in adults, more women than men.

Basic Information

Visiting department

Ophthalmology

Multiple groups

Adult woman

Common causes

Related to factors such as cold, cold, trauma, etc.

Common symptoms

Paroxysmal or persistent acupuncture-like pain or burning sensation on one or both sides of the forehead with eyeball pain, non-persistent vision, photophobia, closed eyes, exacerbation after reading and at night

Causes of supraorbital neuralgia

Supraorbital neuralgia is related to cold, cold, trauma and other factors. Because the supraorbital nerve is the peripheral branch of the first branch of the trigeminal nerve, it is superficial and therefore easily affected.

Clinical manifestations of supraorbital neuralgia

Onset of supraorbital neuralgia is more acute. It manifests as paroxysmal or persistent acupuncture-like pain or burning sensation on one or both sides of the forehead. It can also be accompanied by paroxysmal aggravation during persistent pain, sometimes mild and severe, often accompanied by eye pain, and is not durable Vision, photophobia, closed eyes, and increased after reading and at night. On examination, tenderness was found at the supraorbital notch at the exit of the supraorbital nerve, and the supraorbital nerve distribution area (forehead) showed sheet hyperalgesia or subside.

Supraorbital neuralgia examination

Supraorbital neuralgia is more acute, so examination is important. The main examination methods in clinical aspects are:

Laboratory inspection

Laboratory examinations are helpful for clinical diagnosis.

2. Evoked potential check

3. Skull CT and magnetic resonance examination

Diagnosis of supraorbital neuralgia

Diagnosis can be confirmed based on clinical manifestations and examinations.

Supraorbital neuralgia treatment

Western medicine treatment

(1) Drug treatment

. Acetaminophen: Orally after meals;

Indomethacin: Take at or after meals;

. Ibuprofen;

. Pregabalin: used to treat neuropathic pain, taken orally.

If you use vitamin B drugs, those with obvious pain can use galentin or carbamazepine.

(2) Closed treatment can be used at the same time, such as 1% to 2% nuevocaine plus vitamin B12 supraorbital notch, closed once every other day, 3 to 5 times the symptoms can be relieved.

(3) Physical therapy is matched with reasonable therapy such as electrokinetic (sparse wave) therapy or spin-magnetic therapy.

(4) Nerve block treatment : Supraorbital nerve block can quickly relieve pain, intractable supraorbital neuralgia that is not good for drug treatment, and supraorbital nerve block can have an immediate effect, and the dosage is small and the risk Small and few side effects.

2. Chinese medicine treatment

Some patients with supraorbital neuralgia can receive a certain therapeutic effect after taking Chinese medicine, which can stop or reduce the onset of pain. Chinese medicine advocates dialectical treatment for this disease, and provides targeted treatment according to different types.

Prevention of supraorbital neuralgia

A correct lifestyle is the best way to prevent supraorbital neuralgia. Avoid coffee, soda, cigarettes and other irritants; eat more fruit, vegetables, cereals and other beneficial foods; supplement lecithin, minerals, vitamin B groups, vitamins E, etc.