Orofacial Pain Clinic, David Grant USAF Medical Center, Travis Air Force Base, CA, USA.
Orofacial Pain Center, Naval Postgraduate Dental School, Bethesda, MD, USA.
Headache. 2021 Apr;61(4):683-686. doi: 10.1111/head.14104. Epub 2021 Apr 13.
Paroxysmal hemifacial pain (PHFP) is the orofacial counterpart to paroxysmal hemicrania headaches. This paper reports the cases of two patients suffering from episodic attacks of severe unilateral facial pain. In both cases, pain attacks were absolutely responsive to therapeutic doses of indomethacin. Both patients were diagnosed with PHFP, as per the International Classification of Orofacial Pain diagnostic guidelines. The diagnosis of PHFP, and a trial of indomethacin, must be considered in cases of severe unilateral facial pains not clearly explained by more common diagnoses.
阵发性半侧头痛(PHFP)是阵发性偏头痛头痛的口腔面部对应物。本文报告了两名患有阵发性严重单侧面部疼痛发作的患者的病例。在这两种情况下,疼痛发作对吲哚美辛的治疗剂量绝对有反应。根据国际口腔颌面疼痛分类诊断指南,这两名患者均被诊断为 PHFP。对于无法用更常见的诊断方法明确解释的严重单侧面部疼痛,必须考虑 PHFP 的诊断和吲哚美辛试验。