Solomon S, Apfelbaum R I, Guglielmo K M
Cephalalgia. 1985 Jun;5(2):83-9. doi: 10.1046/j.1468-2982.1985.0502083.x.
The term cluster-tic syndrome (CTS) is used to designate a clinical pain pattern in which symptoms of cluster headache (CH) and tic douloureux (TD) coexist. The TD elements of the attack occur in paroxysms of many seconds or minutes, always affect the maxillary or mandibular divisions of the trigeminal nerve, with spread into the ophthalmic division in some cases, and may be triggered by slight superficial stimuli. These features may occur independent of CH elements but more often the two blend together. Four patients with CTS unresponsive to medication underwent surgery. Blood vessels were found to cross compress the trigeminal nerve in all four patients and the nerve was decompressed. A similar condition was found affecting the facial nerve in two of the three patients in whom that nerve was explored and the facial nerve was decompressed in these two. The TD component of the CTS disappeared after surgery in all four patients. The CH component of the syndrome returned after surgery but in a modified form. In three patients, the CH changed from what had been chronic cluster to infrequent episodic cluster periods; additionally in two patients, the duration of cluster was shorter and the pain was of lesser severity.
丛集性抽搐综合征（CTS）这一术语用于指一种临床疼痛模式，即丛集性头痛（CH）和三叉神经痛（TD）的症状并存。发作中的TD成分以数秒或数分钟的阵发性形式出现，总是影响三叉神经的上颌支或下颌支，在某些情况下会扩散至眼支，并且可能由轻微的体表刺激引发。这些特征可能独立于CH成分出现，但两者更常混合在一起。4例对药物治疗无反应的CTS患者接受了手术。发现所有4例患者的血管均交叉压迫三叉神经，并对神经进行了减压。在探查面神经的3例患者中，有2例发现类似情况影响面神经，并对这2例患者的面神经进行了减压。所有4例患者术后CTS的TD成分均消失。该综合征的CH成分术后复发，但形式有所改变。3例患者的CH从慢性丛集性转变为不频繁的发作性丛集期；此外，2例患者的丛集期持续时间缩短，疼痛程度减轻。
