Nervus Intermedius Neuralgia

Nervus intermedius neuralgia is a very rare disorder characterized by brief paroxysms of pain felt deeply in the auditory canal. Middle-aged females are predominantly affected.

Clinical Manifestations:

brief (usually lasting seconds, rarely minutes)

severe paroxysmal pain

felt within the depths of the ear

Sometimes associated with a trigger-zone in the posterior wall of the ear canal.

Altered taste perception, such as a sense of bitter taste, can occur in some individuals, as can disorders of lacrimation or salivation

It is necessary to rule out other neurologic, otolaryngologic, and infectious causes of ear pain in cases of suspected nervus intermedius neuralgia.

A detailed history, a physical examination, blood work and possibility of neuro imaging is needed to diagnosis and/or treat Nervus Intermedius Neuralgia.