Sharav Y, Benoliel R
Department of Oral Diagnosis, Oral Medicine, and Oral Radiology, Hebrew University-Hadassah School of Dental Medicine, Jerusalem, Israel.
Compend Contin Educ Dent. 2001 Feb;22(2):119-22, 124-6, 128 passim; quiz 132.
Primary vascular-type craniofacial pain comprises a group of pain disorders that share common diagnostic features. These are unilateral, episodic, pulsatile, severe pain. Accompanying phenomena include local autonomic (e.g., tearing, rhinorrhea) and systemic signs (e.g., nausea, photophobia). Primary vascular-type craniofacial pain includes migraine, cluster headache, and paroxysmal hemicrania. A new diagnostic entity, vascular orofacial pain, is suggested. Treatment of primary vascular-type craniofacial pain depends on its more specific diagnosis, and may be abortive or prophylactic. Diagnostic features, common pathophysiological mechanisms, and treatment modalities are discussed.
