Benoliel R, Sharav Y
Orofacial Pain Clinic, Department of Oral Diagnosis, Oral Medicine and Oral Radiology, The Hebrew University, Hadassah School of Dental Medicine, Jerusalem, Israel.
Cephalalgia. 1998 Mar;18(2):85-90. doi: 10.1046/j.1468-2982.1998.1802085.x.
An intimate relationship between trigeminal neuralgia (TN) and short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) syndrome, based on similar clinical signs and symptoms and on cases demonstrating possible "transformation" from one entity to the other, has been widely accepted. We evaluated the presence of lacrimation in 22 consecutive cases that had been diagnosed as TN. Ipsilateral lacrimation was reported by 6 such cases (5M, 1F). These cases responded to antineuralgic therapy with concomitant resolution of lacrimation and were clinically very similar to TN. The differential diagnosis and the possibility of lacrimation in TN are discussed.
基于相似的临床体征和症状以及显示可能从一种疾病“转变”为另一种疾病的病例，三叉神经痛（TN）与伴有结膜充血和流泪的短暂性单侧神经痛样头痛发作（SUNCT）综合征之间的密切关系已被广泛认可。我们评估了22例被诊断为TN的连续病例中流泪的情况。其中6例（5例男性，1例女性）报告有同侧流泪。这些病例对抗神经痛治疗有反应，流泪症状随之缓解，且临床症状与TN非常相似。本文讨论了TN的鉴别诊断及流泪的可能性。
