Barré–Liéou Syndrome
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Barré–Liéou syndrome is a traditional medical diagnosis that is not utilized frequently in modern medicine. It is a complex combination of symptoms, amounting to a headache syndrome, that was originally hypothesized to be due to cervical
spondylosis Spondylosis is the degeneration of the vertebral column from any cause. In the more narrow sense it refers to spinal osteoarthritis, the age-related wear and tear of the spinal column, which is the most common cause of spondylosis. The degenera ...
. Damage to the posterior cervical sympathetic chain due to the degeneration of the cervical vertebra was theorized to play a role in this syndrome by the prolapsing of disc in the mid-cervical spine. However, the medical theory as was originally postulated was found to contain inconsistencies. Barré–Liéou syndrome is regarded by many current medical researchers as synonymous with
cervicogenic headache Cervicogenic headache is a type of headache characterized by chronic hemicranial pain referred to the head from either the cervical spine or soft tissues within the neck. The main symptoms of cervicogenic headaches include pain originating in the n ...
. Thus, the original works of Barré and Liéou were foundational in identifying a crucial feature that distinguishes cervicogenic headache from other headache syndromes—the concept that the pain originates from a structural abnormality in the cervical spine.


Symptoms

Patients with Barré–Liéou syndrome may have complaints of: *
Headache Headache is the symptom of pain in the face, head, or neck. It can occur as a migraine, tension-type headache, or cluster headache. There is an increased risk of depression in those with severe headaches. Headaches can occur as a result ...
*
Neck pain Neck pain, also known as cervicalgia, is a common problem, with two-thirds of the population having neck pain at some point in their lives. Neck pain, although felt in the neck, can be caused by numerous other spinal problems. Neck pain may arise ...
*
Orofacial pain Orofacial pain is a general term covering any pain which is felt in the mouth, jaws and the face. Orofacial pain is a common symptom, and there are many causes. Orofacial Pain (OFP) is the specialty of dentistry that encompasses the diagnosis, ma ...
*
Ear pain Ear pain, also known as earache or otalgia, is pain in the ear. Primary ear pain is pain that originates from the ear. Secondary ear pain is a type of referred pain, meaning that the source of the pain differs from the location where the pain i ...
*
Toothache Toothache, also known as dental pain,Segen JC. (2002). ''McGraw-Hill Concise Dictionary of Modern Medicine''. The McGraw-Hill Companies. is pain in the teeth or their supporting structures, caused by dental diseases or pain referred to the te ...
*
Tinnitus Tinnitus is the perception of sound when no corresponding external sound is present. Nearly everyone experiences a faint "normal tinnitus" in a completely quiet room; but it is of concern only if it is bothersome, interferes with normal hearin ...
*
Nasal congestion Nasal congestion is the blockage of nasal breathing usually due to membranes lining the nose becoming swollen from inflamed blood vessels. Background In about 85% of cases, nasal congestion leads to mouth breathing rather than nasal breathing. ...


Diagnosis

One test to check for Barré–Liéou syndrome is through the use of
thermography Infrared thermography (IRT), thermal video and/or thermal imaging, is a process where a Thermographic camera, thermal camera captures and creates an image of an object by using infrared radiation emitted from the object in a process, which are ...
. An
MRI Magnetic resonance imaging (MRI) is a medical imaging technique used in radiology to form pictures of the anatomy and the physiological processes of the body. MRI scanners use strong magnetic fields, magnetic field gradients, and radio waves ...
study may also be conducted to rule out any structural problems in the neck which may be the cause of this syndrome. Some of the treatments for this disorder consist of sympathetic
nerve blocks Nerve block or regional nerve blockade is any deliberate interruption of signals traveling along a nerve, often for the purpose of pain relief. Local anesthetic nerve block (sometimes referred to as simply "nerve block") is a short-term block, u ...
,
physical therapy Physical therapy (PT), also known as physiotherapy, is one of the allied health professions. It is provided by physical therapists who promote, maintain, or restore health through physical examination, diagnosis, management, prognosis, patient ...
,
neck brace A cervical collar, also known as a neck brace, is a medical device used to support and immobilize a person's neck. It is also applied by emergency personnel to those who have had traumatic head or neck injuries, and can be used to treat chronic m ...
and traction.


History

The syndrome was first described in 1925 by French neurologist
Jean Alexandre Barré Jean Alexandre Barré (25 May 1880, Nantes – 26 April 1967, Strasbourg) was a French neurologist who in 1916 worked on the identification of Guillain-Barré-Strohl syndrome, as well as Barré–Liéou syndrome. Biography First studies He st ...
. Chinese physician Yong-Cheon Lieou also independently described the syndrome in 1928.


References

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