I have had a similar experience as Jonathan - perhaps 3 0r 4 people over
fifteen years with the same thing.
Rocky.
----- Original Message -----
From: "Jonathan Marrow" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Sunday, August 26, 2001 5:31 PM
Subject: Re: Post Traumatic Headache
> 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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