Nervus intermedius neuralgia

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General

  • Aka
    • Geniculate neuralgia

Number

  • Very rare

Clinical features

  • Brief attacks of stabbing deep-sealed ear pain
  • Can be accompanied by altered lacrimation and taste sensations

Mechanism

  • Usually due to vascular compression (AICA) of nervus intermedius
  • Caused by herpes zoster

Treatment

  • MVD but can also consider transection of nervus intermedius
  • Evidence base is minimal due to rarity of condition