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October 1980, Vol 37, No. 10 >
Article | October 1980

Facial Neuralgia With Trigger Point on Finger:  One Case Suggesting a Cortically Mediated Response

Asa P. Ruskin, MD, FACP
Arch Neurol. 1980;37(10):672. doi:10.1001/archneur.1980.00500590096020.
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I have studied a patient with facial neuralgia, in which the trigger point was on the finger.

REPORT OF A CASE  A 68-year-old man was seen initially in 1974 due to pain from two injuries of the face. The first injury occurred in 1953, when he was struck on the right side of the face, breaking three teeth and injuring the gum. Burning paresthesias of the gum later developed, along with a local hematoma at the position of the lower incisors that was followed by a benign giant cell tumor, removed in 1957. The patient continued to have constant "burning" in the right lower face and "small little shocks" that occurred every two or three hours, which, although painful, were not excruciating. The patient continued to work without further treatment until a second injury in 1966, when he was again struck on the right side of the face. His dental

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