Department of Neurology, University Hospital Halle-Saale, Halle/Saale, Germany.
Cephalalgia. 2018 Jun;38(7):1399-1401. doi: 10.1177/0333102417733960. Epub 2017 Sep 24.
Background and objectives Abdominal pain is a well-known headache-associated symptom in migraine in children, but rarely in adults. We describe a case of a female patient with typical accompanying migraine symptoms without headache but with thoracic pain. Case report The present case of a 41 year-old-woman shows recurrent attacks with thoracic pain and typical accompanying migraine symptoms but without headache. Symptoms resolved upon treatment with triptans and beta blockers. Discussion This case might be interpreted as "thoracic migraine", and extends the spectrum of migraine forms. Conclusion In patients with facial pain secondary to lung cancer, an anatomical connection between the vagal nerve, the nucleus tractus solitarii, the jugular ganglion and trigeminal system has been suggested. The present case might be an analogy to this explanation.
背景与目的 腹痛是儿童偏头痛中一种众所周知的与头痛相关的症状，但在成人中很少见。我们描述了一例女性患者，其具有典型伴随偏头痛症状但无头痛，只有胸痛。
病例报告 本例 41 岁女性反复发作，表现为胸痛和典型伴随偏头痛症状，但无头痛。经曲坦类药物和β受体阻滞剂治疗后症状缓解。
讨论 本例可被解释为“胸痛型偏头痛”，并扩展了偏头痛的表现形式。
结论 在因肺癌而出现面部疼痛的患者中，已提出迷走神经、孤束核、颈静脉节和三叉神经系统之间存在解剖学联系。本例可能与该解释类似。
