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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| Published in: | Cephalalgia Vol. 28; no. 3; p. 257 |
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| Main Authors: | , , , , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
England
01.03.2008
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| ISSN: | 1468-2982, 1468-2982 |
| Online Access: | Get more information |
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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. |
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| 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 |
| Author_xml | – sequence: 1 givenname: J A 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 fullname: Cuadrado, M L – sequence: 3 givenname: C surname: Fernández-de-las-Peñas fullname: Fernández-de-las-Peñas, C – sequence: 4 givenname: A B surname: Caminero fullname: Caminero, A B – sequence: 5 givenname: C surname: Nieto fullname: Nieto, C – sequence: 6 givenname: C surname: Sánchez fullname: Sánchez, C – sequence: 7 givenname: M surname: Sols fullname: Sols, M – sequence: 8 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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