Understanding Brain Freeze

Jun 21, 2024

Lecture on Brain Freeze

Introduction

  • Common experience: Brain freeze (ice cream headache, cold stimulus headache, sphenopalatine ganglioneuralgia).
  • Typical causes: Consumption of cold items like ice cream, shakes, slushies.

Causes and Anatomy

  • Primary cause: Cold substances passing over the palate.
  • Palate anatomy: Hard and soft palate.
    • Hard palate: Roof of the mouth, made up of bone (maxillary and palatine bones).
    • Soft palate: Muscle tissue covered by mucous membrane, includes uvula.
  • Vascularization: Palate is well vascularized with many blood vessels and nerve endings.

Structural Details

  • Foramina in the hard palate:
    • Greater Palatine Foramen: Passage for greater palatine arteries and nerves.
    • Lesser Palatine Foramen: Passage for lesser palatine arteries and nerves.

Physiological Response

  • Vasoconstriction: Cold substances cause blood vessels to constrict.
  • Nerve Sensation: Nerves (greater and lesser palatine) sense temperature change and send signals to the brain.

Referred Pain

  • Trigeminal nerve: Main nerve branching into three areas: forehead, cheek/nose, jaw.
  • Pathway: Sensation from palate travels via trigeminal nerve to the brainstem (medulla oblongata) and relays at the spinal trigeminal nucleus.
  • Referred pain: Brain misinterprets palate pain as coming from forehead, cheeks, eyes, or back of the head.

Remedies

  • Common suggestions:
    • Slow down consumption of cold items.
    • Warm the roof of the mouth by pressing the tongue or thumb against it.
    • Use of Tylenol or ibuprofen not recommended due to the short duration of brain freeze.

Conclusion

  • Understanding brain freezes can help manage them better.
  • For personalized questions or further details, refer to our Wizio account.

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