First bite syndrome
Evidence-based neurology checklist on first bite syndrome: Pathology This is parotid region pain provoked by the first bite of each meal It may occur with smelling the food or thinking of eating It results from parasympathetic hyperactivation It is associated with parotid region lesions or surgery…
Pathology
- This is parotid region pain provoked by the first bite of each meal
- It may occur with smelling the food or thinking of eating
- It results from parasympathetic hyperactivation
- It is associated with parotid region lesions or surgery
Clinical features
Associated features
Iatrogenic surgical causes
Malignant causes
Differential diagnosis
Treatment
References
- Costales-Marcos M, López Álvarez F, Fernández-Vañes L, Gómez J, Llorente JL. Treatment of the first bite syndrome. Acta Otorrinolaringol Esp 2017; 68:284-288.
- Steel SJ, Robertson CE. First bite syndrome: what neurologists need to know. Curr Pain Headache Rep 2021; 25:31.
- Tao MJ, Roche-Nagle G. First bite syndrome: a complication of carotid endarterectomy. BMJ Case Rep 2016; pii: bcr2015213996.
- Linkov G, Morris LG, Shah JP, Kraus DH. First bite syndrome: incidence, risk factors, treatment, and outcomes. Laryngoscope 2012; 122:1773-1778.
- Wang TK, Bhamidipaty V, MacCormick M. First bite syndrome following ipsilateral carotid endarterectomy. Vasc Endovascular Surg 2013; 47:148-150.
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