If skin pain occurs but there are no symptoms on the skin surface, it may be due to spontaneous pain. There are many types of spontaneous neuralgia, the most common of which are central nervous system pain and peripheral nervous system pain. They are mainly some primary neuralgia of unknown cause, such as trigeminal neuralgia, occipital neuralgia, etc., which are prone to cause such symptoms and manifestations. Common causes of skin pain without symptoms 1. Peripheral neuralgia 1. Trigeminal neuralgia: common in inflammatory infiltration, atherosclerotic compression, cerebellopontine angle tumors, nasopharyngeal carcinoma, trigeminal ganglion tumors, chordoma, multiple sclerosis, etc. 2. Sphenopalatine ganglion pain, pterygoid neuralgia, and geniculate ganglion pain: seen in sinusitis, sphenoid sinusitis, ethmoid sinusitis, nasal structure deformation, nasal septum deviation due to mechanical compression of the middle turbinate, skull base fracture, metastatic cancer, herpes zoster virus infection, etc. 3. Occipital neuralgia: common in neuritis, upper respiratory tract infection, influenza, malaria, rheumatism, diabetes, thyroid disease, alcohol, lead poisoning, occipital and neck trauma, cervical spondylosis, rheumatoid spondylitis or metastatic cancer, basilar indentation, foramen magnum stenosis, atlanto-occipital fusion, atlantoaxial dislocation, incomplete septation of upper cervical vertebrae, cerebellar tonsillar herniation, intraspinal tumors, foramen magnum tumors, adhesive spinal meningitis, syringomyelia, suboccipital joint ligament injury, anterior and posterior arch fractures of the atlas, atlantoaxial subluxation, cervical muscle injury, etc. 4. Intercostal neuralgia: common in infectious and toxic radiculitis, pleurisy, chronic pneumonia, aortic aneurysm, mitral valve stenosis, thoracic organ lesions, thoracic tuberculosis, tumors, ankylosing spondylitis, spinal cord tumors, spinal cord inflammation and other spinal lesions, rib tumors, rib fractures, bone calluses, and herpes zoster. 5. Cervical, shoulder and brachial neuralgia, and brachial plexus neuritis: common in cervical spondylosis, neck swellings, tumors, herpes zoster, influenza, typhoid fever, malaria and other infections, colds, and vaccinations with heterologous serum vaccines.II. Central pain 1. Spinal pain: (1) Posterior horn pain is often seen in trauma, tumors, syringomyelia, etc. (2) Posterior spinal cord pain is seen in multiple sclerosis, tuberculosis dorsalis, etc. (3) Spinothalamic fasciculal pain is most common in syringomyelia. 2. Thalamic pain: Thalamic pain is common in cerebrovascular diseases and tumors. 3. Pain in the pons and medulla oblongata: seen in cerebrovascular disease, tumors, multiple sclerosis, etc. 4. Cerebral cortical pain: Cerebral cortical pain is rare, usually caused by tumors, vascular diseases, etc. |
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