Cuadrado María Luz, Guerrero Angel L, Pareja Juan A
Department of Neurology, Hospital Clínico San Carlos, Madrid, Spain.
Department of Medicine, Universidad Complutense de Madrid, Madrid, Spain.
Curr Pain Headache Rep. 2016 Apr;20(4):21. doi: 10.1007/s11916-016-0557-9.
Epicrania fugax (EF) is a primary headache of recent description. EF essentially consists of brief paroxysms of pain describing a linear or zigzag trajectory across the surface of one hemicranium, commencing and terminating in the territories of different nerves. The pain of forward EF originates in a particular area of the occipital, parietal or temporal regions and moves anteriorly, whereas the pain of backward EF originates in the frontal area, the eye or the nose and moves posteriorly. Some patients have ocular or nasal autonomic accompaniments, and some have triggers. Between attacks, many patients have continuous or intermittent pain and/or tenderness at the stemming area. Pain frequency is extremely variable and some patients have spontaneous remissions. Preventive therapy is required when the paroxysms are frequent and non-remitting. Neuromodulators, indomethacin, amitryptiline, nerve anesthetic blockades, and trochlear steroid injections have been used in different cases, with partial or complete response.
短暂性头皮神经痛（EF）是一种最近才被描述的原发性头痛。EF主要由短暂的阵发性疼痛组成，疼痛描述为横跨一侧颅骨表面的线性或之字形轨迹，起始和终止于不同神经的分布区域。向前型EF的疼痛起源于枕部、顶叶或颞叶的特定区域并向前移动，而向后型EF的疼痛起源于额叶、眼睛或鼻子并向后移动。一些患者伴有眼部或鼻部自主神经症状，还有一些患者有诱发因素。在发作间歇期，许多患者在疼痛起始区域有持续性或间歇性疼痛和/或压痛。疼痛频率变化极大，一些患者会自发缓解。当阵发性疼痛频繁且持续不缓解时，需要进行预防性治疗。在不同病例中已使用神经调节剂、吲哚美辛、阿米替林、神经麻醉阻滞和滑车类固醇注射，有部分或完全缓解的情况。
