Unilateral nasal pain with migraine features
Unilateral nasal pain with migraine features
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DOI：
10.1177/0333102413482198
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发表时间：
2013-09-01
期刊：
影响因子：
4.9
通讯作者：
Pareja, Juan A.
中科院分区：
文献类型：
--
作者：
Alvarez, Monica;Montojo, Teresa;Pareja, Juan A.
背景资料：偏头痛发作只觉得在脸上是非常罕见的，涉及的领土提供的第二和第三分支的三叉神经cases：两名患者患有偏头痛发作伴随着典型的偏头痛的功能和响应口服或鼻内曲坦类药物-但不是鼻内利多卡因或羟甲唑啉。在一个病人中，发作可能会在轻微触摸鼻尖时突然发生，在其他发作之前，通常预示着打喷嚏的鼻感觉。讨论：偏头痛主要发生在三叉神经第一分支的神经支配区域内，包括鼻子。因此，具有偏头痛特征的单侧鼻腔疼痛发作可被认为是具有异常地形的偏头痛（鼻型偏头痛）。偶尔在鼻三叉神经传入神经刺激之前出现疼痛性鼻发作，可被认为是偏头痛-抽动综合征。
Background: Migraine attacks exclusively felt in the face are very rare, the pain involving the territories supplied by the second and third branches of the trigeminal nerve.Cases: Two patients suffering from heminasal pain attacks accompanied with typical migrainous features and responsive to oral or intranasal triptans - but not to intranasal lidocaine or oxymetazoline. In one patient, the attacks could be precipitated upon slight touching on the tip of the nose, in the other attacks were preceded by the nasal sensation typically heralding sneezing.Discussion: Migraine pain mostly develops within the innervation territory of the first branch of the trigeminal nerve, which includes the nose. Therefore, episodes of unilateral nasal pain with migrainous features could be considered a migraine with unusual topography (nasal migraine). Painful nasal attacks occasionally preceded by stimulation of trigeminal afferents in the nose, could be conceived of as migraine-tic syndrome.