Sklebar Duska, Sklebar Ivan, Vrabec-Matković Dragica, Cengić Ljiljana
Department of Neurology, Bjelovar General Hospital, Bjelovar, Croatia.
Acta Clin Croat. 2010 Sep;49(3):327-9.
A case is described of a 72-year-old woman that presented to our outpatient neurology clinic complaining of relapsing attacks of severe pain in and around the left ear and ipsilateral side of the face, accompanied by objectively visible cutaneous erythema with burning sensation throughout the attack. There was no alteration in her neurologic status. Comprehensive tests were done to exclude the possible primary diseases. The findings were within the limits of physiological values. Attempts at treating the pain with various analgesics and a combination of analgesics and first generation anticonvulsants did not prove effective. The pain was slightly relieved with pregabalin in maximum dosage. Because of various potential pathophysiological mechanisms, literature does not indicate any unique potential treatment approach, and some patients are resistant to any kind of therapy.
本文描述了一例72岁女性患者，她到我们的门诊神经科就诊，主诉左耳及其同侧面部反复出现严重疼痛发作，发作时伴有客观可见的皮肤红斑和烧灼感。她的神经状态没有改变。进行了全面检查以排除可能的原发性疾病。检查结果在生理值范围内。尝试用各种镇痛药以及镇痛药与第一代抗惊厥药联合治疗疼痛均未证明有效。最大剂量的普瑞巴林使疼痛稍有缓解。由于存在各种潜在的病理生理机制，文献中未指出任何独特的潜在治疗方法，并且一些患者对任何类型的治疗都有抵抗性。
