VanderPluym Juliana, Richer Lawrence
Department of Pediatrics, Division of Neurology, University of Alberta, 4-478 Edmonton Clinic Health Academy, 11405-87 Avenue, Edmonton, Alberta, T6G 1C9, Canada,
Curr Pain Headache Rep. 2015;19(2):473. doi: 10.1007/s11916-014-0473-9.
Trigeminal neuralgia, short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) and short-lasting unilateral neuralgiform headache attacks with autonomic symptoms (SUNA) are classified as distinct disorders in the International Classification of Headache Disorders 3 beta (ICHD-3 beta). SUNCT and SUNA are primary headache disorders included among the trigeminal autonomic cephalalgias. Trigeminal neuralgia is classified under painful cranial neuropathies and other facial pains. The classification criteria of these conditions overlap significantly which could lead to misdiagnosis. The reported overlap among these conditions has called into question whether they should be considered distinct entities or rather a continuum of the same disorder. This review explores the known overlap and how other features not included in the ICHD-3 beta criteria may better differentiate the "Tics" (trigeminal neuralgia) from the "TACs" (SUNCT and SUNA).
三叉神经痛、伴有结膜充血和流泪的短暂性单侧神经痛样头痛发作（SUNCT）以及伴有自主神经症状的短暂性单侧神经痛样头痛发作（SUNA）在《国际头痛疾病分类第3版beta版》（ICHD - 3 beta）中被归类为不同的疾病。SUNCT和SUNA是三叉自主神经性头痛中包含的原发性头痛疾病。三叉神经痛归类于疼痛性颅神经病变和其他面部疼痛。这些病症的分类标准有显著重叠，这可能导致误诊。这些病症之间报道的重叠引发了一个问题，即它们究竟应被视为不同的实体，还是同一疾病的连续体。本综述探讨了已知的重叠情况，以及ICHD - 3 beta标准未涵盖的其他特征如何能更好地将“抽动”（三叉神经痛）与“抽动性自主神经性头痛”（SUNCT和SUNA）区分开来。
