Benoliel R, Sharav Y
Department of Oral Diagnosis, Oral Medicine and Oral Radiology, Hebrew University, Jerusalem, Israel.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998 Mar;85(3):285-92. doi: 10.1016/s1079-2104(98)90010-5.
Paroxysmal hemicrania is a vascular-type headache that is characterized by short bouts of severe unilateral pain in the area of the orbit and temple. A chronic and episodic form that has been described is similar to cluster headache and reflects a distinctive temporal pattern. Signs associated with paroxysmal hemicrania include ipsilateral conjunctival injection and tearing with nasal congestion and rhinorrhea. The condition's absolute response to indomethacin pharmacotherapy differentiates paroxysmal hemicrania from cluster headache. Typical symptoms usually make for a relatively straightforward diagnosis of paroxysmal hemicrania, but it may masquerade as pulpitic or temporomandibular-joint-related pain and may even herald systemic disease or malignancy. Paroxysmal hemicrania is a rare syndrome; 111 cases have been reported in the literature thus far. All of these cases have been reported by "headache specialists"; no cases of paroxysmal hemicrania were found in the dental literature. In this review, a relatively large series of seven new cases is reported; all seven were seen in an orofacial pain clinic.
阵发性偏侧头痛是一种血管型头痛，其特征为眼眶和颞部区域出现短暂的严重单侧疼痛。已描述的慢性和发作性形式类似于丛集性头痛，并反映出独特的时间模式。与阵发性偏侧头痛相关的体征包括同侧结膜充血、流泪伴鼻塞和流涕。该病症对消炎痛药物治疗的绝对反应将阵发性偏侧头痛与丛集性头痛区分开来。典型症状通常使阵发性偏侧头痛的诊断相对直接，但它可能伪装成牙髓炎或颞下颌关节相关疼痛，甚至可能预示全身性疾病或恶性肿瘤。阵发性偏侧头痛是一种罕见综合征；迄今为止，文献中已报道111例。所有这些病例均由“头痛专家”报告；牙科文献中未发现阵发性偏侧头痛病例。在本综述中，报告了相对较大的一系列七例新病例；所有七例均在口腔面部疼痛诊所就诊。
