Bussone G, Leone M, Dalla Volta G, Strada L, Gasparotti R, Di Monda V
Department of Neurology, Istituto Neurologico C. Besta, Milano, Italy.
Cephalalgia. 1991 Jul;11(3):123-7. doi: 10.1046/j.1468-2982.1991.1103123.x.
A 36-year-old man was suffering from brief, unilateral and short-lasting pain attacks always associated with marked homolateral tearing and conjunctival injection, both presenting in a cluster fashion. An arteriovenous malformation was subsequently discovered in the homolateral cerebellopontine angle. The clinical picture shares similarities with both cluster headache and trigeminal neuralgia, although it can not be accurately placed with either of these forms. Patients with similar symptoms have previously been described in detail, and on the basis of these few descriptions a new syndrome "short-lasting" unilateral neuralgiform headache attacks with conjunctival injection, tearing, sweating, and rhinorrhoea has been postulated. Assuming the validity of this syndrome as an entity, this case is in all probability its first "symptomatic" example. Careful evaluation of the varieties of cluster headache and trigeminal neuralgia, and the reporting of similar new cases as they arise are necessary to establish the nosologic boundaries of this syndrome.
一名36岁男性患有短暂、单侧且持续时间短的疼痛发作，总是伴有同侧明显流泪和结膜充血，二者均呈丛集性发作。随后在同侧桥小脑角发现了动静脉畸形。尽管不能准确归类于丛集性头痛或三叉神经痛这两种类型中的任何一种，但该临床表现与二者均有相似之处。此前已有详细描述过具有类似症状的患者，基于这些为数不多的描述，一种新的综合征——伴有结膜充血、流泪、出汗及流涕的“短暂性”单侧神经痛样头痛发作被提出。假定该综合征作为一个独立实体是有效的，那么此病例很可能是其首个“症状性”实例。仔细评估丛集性头痛和三叉神经痛的各种类型，并报告出现的类似新病例，对于确定该综合征的疾病分类界限是必要的。
