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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