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13. CRANIAL NEURALGIAS AND CENTRAL CAUSES OF FACIAL PAIN 13.1. Trigeminal neuralgia 13.2. Glossopharyngeal neuralgia 13.3. Nervus intermedius neuralgia [G51.80] 13.4. Superior laryngeal neuralgia [G52.20] 13.5. Nasociliary neuralgia [G52.80] 13.6. Supraorbital neuralgia [G52.80] 13.7. Other terminal branch neuralgias [G52.80] 13.8. Occipital neuralgia [G52.80] 13.9. Neck-tongue syndrome 13.10. External compression headache 13.11. Cold-stimulus headache 13.12. Constant pain caused by compression, irritation or distortion of cranial nerves or upper cervical roots by structural lesions [G53.8] + [code to specify aetiology] 13.13. Optic neuritis [H46]  13.14. Ocular diabetic neuropathy [E10-E14]  13.15. Head or facial pain attributed to herpes zoster 13.16. Tolosa-Hunt syndrome 13.17. Ophthalmoplegic “migraine” 13.18. Central causes of facial pain 13.19. Other cranial neuralgia or other centrally-mediated facial pain [code to specify aetiology] Bibliography and reference14. OTHER HEADACHE, CRANIAL NEURALGIA, CENTRAL OR PRIMARY FACIAL PAIN 

IHS	Diagnosis	ICD-10
13.9	Neck-tongue syndrome	G44.851

Description:

The sudden onset of pain in the occiput or upper neck associated with abnormal sensation in the same side of the tongue.

Diagnostic criteria:

Pain lasting seconds or minutes, with or without simultaneous dysaesthesia, in the area of distribution of the lingual nerve and second cervical root and fulfilling criteria B and C
Pain has acute onset
Pain is commonly precipitated by sudden turning of the head

Comment:

Proprioceptive fibres from the tongue enter the central nervous system through the second cervical dorsal root via connections between lingual and hypoglossal nerves and between the latter and the second cervical root. There is clinical and surgical evidence that the C2 root is compromised by sudden rotation of the neck, which is particularly likely when subluxation of the atlantoaxial joint occurs. The abnormal sensation in the ipsilateral side of the tongue may be numbness, paraesthesia or the sensation of involuntary movement.

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