Kanner Ronald
Department of Neurology, Hofstra North Shore-LIJ School of Medicine, New Hyde Park, NY.
Neurol Clin Pract. 2012 Sep;2(3):172-178. doi: 10.1212/CPJ.0b013e31826af177.
A 63-year-old woman is referred for neurologic consultation because of electrical shocks of pain in a left V3 distribution. The attacks are very brief, but occur many times a day, triggered by cold, touch, and chewing. In between attacks, she is pain free. Her neurologic examination is normal. This straightforward presentation of trigeminal neuralgia leaves the consulting neurologist wondering what to do with the other 45 minutes of the visit. The current article is vignette-based and deals with patients who may not fit into such a neat category. It is meant for the general neurologist, not the headache specialist. Aside from routine scenarios, it includes discussions of atypical facial pain, temporomandibular joint disorder, burning mouth syndrome, and other vexing types of facial pain.
一名63岁女性因左侧V3分布区出现电击样疼痛而前来接受神经科会诊。发作非常短暂，但每天会发生多次，由寒冷、触摸和咀嚼引发。发作间期她没有疼痛。她的神经系统检查正常。这种典型的三叉神经痛表现让会诊的神经科医生不知道在剩余的45分钟会诊时间里该做些什么。本文基于病例 vignette，涉及可能不符合如此明确分类的患者。它是为普通神经科医生而非头痛专科医生撰写的。除了常规情况，还包括对非典型面部疼痛、颞下颌关节紊乱、灼口综合征及其他令人困扰的面部疼痛类型的讨论。
