Epicrania fugax:: an ultrabrief paroxysmal epicranial pain
Epicrania fugax:: an ultrabrief paroxysmal epicranial pain
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DOI：
10.1111/j.1468-2982.2007.01515.x
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发表时间：
2008-03-01
期刊：
影响因子：
4.9
通讯作者：
Porta-Etessam, J.
中科院分区：
文献类型：
--
作者：
Pareja, J. A.;Cuadrado, M. L.;Porta-Etessam, J.
10例患者（1男9女，平均年龄48.8±20.1岁）表现为典型且未描述的头痛类型。患者主诉为严格单侧、射状疼痛发作，始于后顶叶或颞区的病灶区域，沿直线或之字形轨迹迅速向前扩散至同侧眼睛（n = 7）或鼻子（n = 3），完整序列持续1-10秒。2例患者有同侧流泪，1例患者在发作结束时出现鼻漏。发作可能是自发的，也可能是由触摸茎干区域引起的（n = 2），否则在发作之间可能会保持触痛或轻微疼痛（n = 5）。发作频率从每月两次到每天无数次不等，时间模式为缓解型（n = 5）或慢性型（n = 5）。这种临床表现可能是一种已确定的头痛的变体或代表一种新的综合征。
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.