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In 1977, a 62-year-old male patient was the first to be diagnosed with SUNCT. The patient had experienced unilateral, mild pain in the ocular and periorbital areas since he was 30 years old. The patient started to experience more severe attacks after being struck by a fishing rod in the lower medial supraorbital area when he was 58 years old.
The following diagnostic criteria are given for ophthalmodynia periodica: [medical citation needed]. Head pain occurring as a single stab or a series of stabs; Can be felt in the areas surrounding the eyes and temples but is "typically felt on the top, front, or sides of the head"
The pain occurs only on one side of the head, around the eye, particularly behind or above the eye, in the temple. The pain is typically greater than in other headache conditions, including migraines , and is usually described as burning, stabbing, drilling or squeezing. [ 15 ]
Major symptoms are sudden loss of vision (partial or complete), sudden blurred or "foggy" vision, and; pain on movement of the affected eye. [4] [5] [2]Many patients with optic neuritis may lose some of their color vision in the affected eye (especially red), with colors appearing subtly washed out compared to the other eye.
Ocular neuropathic pain, also called corneal neuralgia, is a spectrum of disorders of ocular pain which are caused by damage or disease affecting the nerves.Ocular neuropathic pain is frequently associated with damaged or dysfunctional corneal nerves, [1] but the condition can also be caused by peripheral or centralized sensitization. [2]
Sudden stabbing chest pain Classic chest pain typically feels like pressure, fullness, or squeezing, and it often gets worse with exertion and then goes away before coming back again later.
The typical form results in episodes of severe, sudden, shock-like pain in one side of the face that lasts for seconds to a few minutes. [1] Groups of these episodes can occur over a few hours. [1] The atypical form results in a constant burning pain that is less severe. [1] Episodes may be triggered by any touch to the face. [1]
ATN pain can be described as heavy, aching, stabbing, and burning. Some patients have a constant migraine-like headache. Others may experience intense pain in one or in all three trigeminal nerve branches, affecting teeth, ears, sinuses, cheeks, forehead, upper and lower jaws, behind the eyes, and scalp.