Department of Systems Neuroscience, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Cephalalgia. 2020 Sep;40(10):1079-1083. doi: 10.1177/0333102420923643. Epub 2020 May 6.
Primary stabbing headache (PSH) is a transient and localized headache disorder. Facial variants of this rare pain syndrome have not been previously described. Four patients (n = 2 female, 2 male) presented themselves to our headache and facial pain outpatient clinic. They suffered daily from several dozen to several hundred short-lasting stabbing pain paroxysms primarily in the second and third trigeminal branches (V2 and V3) without lateral predominance. These non-neuralgic pain paroxysms did not strictly follow dermatomes, were not accompanied by trigeminal autonomic features and could not be triggered but occurred exclusively spontaneously. They did not fulfill any existing ICHD-3 criteria but appeared clinically to have similarities to primary stabbing headache syndromes. Indomethacin showed no efficacy. Exclusive facial variants of stabbing pain paroxysms should be classified as separate entities and tentatively be called stabbing facial pain.
原发性刺痛性头痛（PSH）是一种短暂性和局限性头痛障碍。这种罕见的疼痛综合征的面部变异以前没有被描述过。4 名患者（n=2 名女性，2 名男性）到我们的头痛和面部疼痛门诊就诊。他们每天都会出现数十到数百次短暂的刺痛性发作，主要发生在第二和第三三叉神经分支（V2 和 V3），没有侧偏优势。这些非神经痛性疼痛发作不严格遵循皮节，不伴有三叉神经自主特征，也不能被触发，而是仅自发发生。它们不符合任何现有的 ICHD-3 标准，但临床上似乎与原发性刺痛性头痛综合征有相似之处。吲哚美辛没有疗效。单纯的刺痛性阵发性疼痛应被归类为单独的实体，并暂命名为刺痛性面部疼痛。
