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13.3.2 Painful nervus intermedius neuropathy


Pain within the distribution(s) of the intermedius nerve(s) (auditory canal, auricle or region of the mastoid process), usually described by the patient as dull, deep in the ear and continuous or near-continuous. Brief paroxysms may be superimposed, but they are not the predominant pain type. This combination distinguishes painful nervus intermedius neuropathy from the subforms of 13.3.1 Nervus intermedius neuralgia. Sensory deficits, usually slight, may be present in the ear canal, auricle or skin overlying the mastoid process.