Epicrania fugax: an ultrabrief paroxysmal epicranial pain

Ten patients (one man and nine women, mean age 48.8 +/- 20.1) presented with a stereotypical and undescribed type of head pain. They complained of strictly unilateral, shooting pain paroxysms starting in a focal area of the posterior parietal or temporal region and rapidly spreading forward to the i...

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Veröffentlicht in:Cephalalgia Jg. 28; H. 3; S. 257
Hauptverfasser: Pareja, J A, Cuadrado, M L, Fernández-de-las-Peñas, C, Caminero, A B, Nieto, C, Sánchez, C, Sols, M, Porta-Etessam, J
Format: Journal Article
Sprache:Englisch
Veröffentlicht: England 01.03.2008
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ISSN:1468-2982, 1468-2982
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Abstract Ten patients (one man and nine women, mean age 48.8 +/- 20.1) presented with a stereotypical and undescribed type of head pain. They complained of strictly unilateral, shooting pain paroxysms starting in a focal area of the posterior parietal or temporal region and rapidly spreading forward to the ipsilateral eye (n = 7) or nose (n = 3) along a lineal or zigzag trajectory, the complete sequence lasting 1-10 s. Two patients had ipsilateral lacrimation, and one had rhinorrhoea at the end of the attacks. The attacks could be either spontaneous or triggered by touch on the stemming area (n = 2), which could otherwise remain tender or slightly painful between the paroxysms (n = 5). The frequency ranged from two attacks per month to countless attacks per day, and the temporal pattern was either remitting (n = 5) or chronic (n = 5). This clinical picture might be a variant of an established headache or represent a novel syndrome.
AbstractList Ten patients (one man and nine women, mean age 48.8 +/- 20.1) presented with a stereotypical and undescribed type of head pain. They complained of strictly unilateral, shooting pain paroxysms starting in a focal area of the posterior parietal or temporal region and rapidly spreading forward to the ipsilateral eye (n = 7) or nose (n = 3) along a lineal or zigzag trajectory, the complete sequence lasting 1-10 s. Two patients had ipsilateral lacrimation, and one had rhinorrhoea at the end of the attacks. The attacks could be either spontaneous or triggered by touch on the stemming area (n = 2), which could otherwise remain tender or slightly painful between the paroxysms (n = 5). The frequency ranged from two attacks per month to countless attacks per day, and the temporal pattern was either remitting (n = 5) or chronic (n = 5). This clinical picture might be a variant of an established headache or represent a novel syndrome.
Ten patients (one man and nine women, mean age 48.8 +/- 20.1) presented with a stereotypical and undescribed type of head pain. They complained of strictly unilateral, shooting pain paroxysms starting in a focal area of the posterior parietal or temporal region and rapidly spreading forward to the ipsilateral eye (n = 7) or nose (n = 3) along a lineal or zigzag trajectory, the complete sequence lasting 1-10 s. Two patients had ipsilateral lacrimation, and one had rhinorrhoea at the end of the attacks. The attacks could be either spontaneous or triggered by touch on the stemming area (n = 2), which could otherwise remain tender or slightly painful between the paroxysms (n = 5). The frequency ranged from two attacks per month to countless attacks per day, and the temporal pattern was either remitting (n = 5) or chronic (n = 5). This clinical picture might be a variant of an established headache or represent a novel syndrome.Ten patients (one man and nine women, mean age 48.8 +/- 20.1) presented with a stereotypical and undescribed type of head pain. They complained of strictly unilateral, shooting pain paroxysms starting in a focal area of the posterior parietal or temporal region and rapidly spreading forward to the ipsilateral eye (n = 7) or nose (n = 3) along a lineal or zigzag trajectory, the complete sequence lasting 1-10 s. Two patients had ipsilateral lacrimation, and one had rhinorrhoea at the end of the attacks. The attacks could be either spontaneous or triggered by touch on the stemming area (n = 2), which could otherwise remain tender or slightly painful between the paroxysms (n = 5). The frequency ranged from two attacks per month to countless attacks per day, and the temporal pattern was either remitting (n = 5) or chronic (n = 5). This clinical picture might be a variant of an established headache or represent a novel syndrome.
Author Nieto, C
Sols, M
Porta-Etessam, J
Cuadrado, M L
Caminero, A B
Fernández-de-las-Peñas, C
Sánchez, C
Pareja, J A
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  surname: Pareja
  fullname: Pareja, J A
  email: japareja@fhalcorcon.es
  organization: Department of Neurology, Fundación Hospital Alcorcón and Rey Juan Carlos University, Alcorcón, Madrid, Spain. japareja@fhalcorcon.es
– sequence: 2
  givenname: M L
  surname: Cuadrado
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  surname: Fernández-de-las-Peñas
  fullname: Fernández-de-las-Peñas, C
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  surname: Caminero
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  fullname: Sols, M
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  givenname: J
  surname: Porta-Etessam
  fullname: Porta-Etessam, J
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Snippet Ten patients (one man and nine women, mean age 48.8 +/- 20.1) presented with a stereotypical and undescribed type of head pain. They complained of strictly...
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SubjectTerms Acute Disease
Adult
Aged
Facial Pain - classification
Facial Pain - diagnosis
Facial Pain - pathology
Female
Headache - classification
Headache - diagnosis
Headache - pathology
Humans
Male
Middle Aged
Pain - classification
Pain - diagnosis
Pain - pathology
Title Epicrania fugax: an ultrabrief paroxysmal epicranial pain
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