Dear all
Ray's post is interesting. I am not sure if my observation adds to it, but
I have seen probably 3 or 4 patients who suffered frontal bruising in road
traffic collisions (note politically correct phrase), had headahces and
local pain and then wnet on to be distressed by dysaethesiae and
paraesthesiae in the distribution of the supraorbital nerve. One complained
that the anterior quarter of her scalp on the side of the injury felt cold.
Another felt as if water was constantly pooring over the area. May seem to
have little functional significance but most people comb or brush their hair
sometimes and this does stop you forgetting if a chunk of your scalp feels
very odd indeed.
I take this to be evidence that the supraorbital nerve is sometimes
vulnerable to closed injury. Pain was certainly a feature in some of my
patients but not the longest lasting symptom.
I shall be interested to hear if others have observations.
Jonathan Marrow
----- Original Message -----
From: "rmcglone" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Saturday, August 25, 2001 16:29
Subject: Post Traumatic Headache
Over the years I've come across many patients returning for an opinion
because of headache relating to a blow to the forehead. The blow to the
supra-orbital area has injured the supraorbital nerve.
Clinical examination reveals the supraorbital nerve to be very sensitive to
percussion over the orbital ridge. Sensation is often altered to pin prick
on testing the distribution of the nerve.
The headache can be so intense that I found a surgical team about to
organise a CT scan on a patient some months ago.
I have not read about this in any standard textbook, I presume someone has
written it up?
Regards
Ray McGlone
A&E Lancaster
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