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IHS Diagnosis ICD-10
13.4 Superior laryngeal neuralgia [G52.20] G44.847  

Description:

A rare disorder characterised by severe pain in the lateral aspect of the throat, submandibular region and underneath the ear, precipitated by swallowing, shouting or turning the head.

Diagnostic criteria:

  1. Pain paroxysms lasting for seconds or minutes in the throat, submandibular region and/or under the ear and fulfilling criteria B-D
  2. Paroxysms are triggered by swallowing, straining the voice or head turning
  3. A trigger point is present on the lateral aspect of the throat overlying the hypothyroid membrane
  4. The condition is relieved by local anaesthetic block and cured by section of the superior laryngeal nerve
  5. Not attributed to another disorder1

Note:

  1. Other causes, in particular a structural lesion, have been ruled out by history, physical examination and special investigations.

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