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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Bibliographic Details
Published in:Cephalalgia Vol. 28; no. 3; p. 257
Main Authors: 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
Language:English
Published: England 01.03.2008
Subjects:
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
ISSN:1468-2982, 1468-2982
Online Access:Get more information
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Summary: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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ISSN:1468-2982
1468-2982
DOI:10.1111/j.1468-2982.2007.01515.x