Epicrania Fugax: An Ultrabrief Paroxysmal Epicranial Pain
- 1 March 2008
- journal article
- research article
- Published by SAGE Publications in Cephalalgia
- Vol. 28 (3), 257-263
- https://doi.org/10.1111/j.1468-2982.2007.01515.x
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.Keywords
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