J Oral Facial Pain Headache. 2019;33(1):e1-e7. doi: 10.11607/ofph.2143.
Trigeminal autonomic cephalalgias (TAC) are primary headache disorders that are characterized by severe unilateral pain along the distribution of the trigeminal nerve with corresponding activation of the autonomic nervous system. The clinical characteristics and presentation of TAC are unique; however, there may be an overlap of these features with other painful conditions affecting the orofacial region, which can be a diagnostic challenge for the clinician. This article reports a case history and discusses the differences between clinical characteristics of TAC and other painful orofacial conditions. Refractory pain conditions and the occurrence of episodic pain attacks with accompanying autonomic symptoms necessitate a thorough evaluation to rule out rare causes of head and face pain.
三叉自主神经性头痛（TAC）是一种原发性头痛疾病，其特征为沿着三叉神经分布的严重单侧疼痛，并伴有自主神经系统的相应激活。TAC 的临床特征和表现是独特的；然而，这些特征可能与其他影响口腔面部区域的疼痛病症有重叠，这可能对临床医生构成诊断挑战。本文报告了一个病例，并讨论了 TAC 与其他口腔面部疼痛病症的临床特征差异。难治性疼痛病症和伴有自主症状的阵发性疼痛发作的发生需要进行彻底评估，以排除头面部疼痛的罕见原因。
