Cranial Neuropathies · ICHD-3 · 13

Cranial neuropathies and facial pain

Trigeminal neuralgia, persistent facial pain, painful cranial neuropathy, and post-herpetic pain. These are not classic headache, but the person often arrives first at a headache clinic.

Separating this from cluster

Neuralgia is extremely brief, and the person is often pain-free between shocks. Cluster lasts tens of minutes and brings restlessness and autonomic signs. Persistent, dull facial pain, without shocks and without cluster bouts, is a different diagnosis and should not be treated by endlessly raising carbamazepine.

These pages are written for health professionals. They do not replace a history, examination, or clinical judgment. Treatment is decided for each patient individually.