Epicrania Fugax: An Ultrabrief Paroxysmal Epicranial Pain

Author:

Pareja JA1,Cuadrado ML1,Fernández-de-las-Peñas C2,Caminero AB3,Nieto C4,Sánchez C1,Sols M5,Porta-Etessam J6

Affiliation:

1. Department of Neurology, Fundación Hospital Alcorcón and Rey Juan Carlos University

2. Department of Physical Therapy, Rey Juan Carlos University, Alcorcón, Madrid

3. Department of Neurology, Hospital Na Sa de Sonsoles, Ávila

4. Department of Anaesthesiology, Fundación Hospital Alcorcón and Rey Juan Carlos University

5. Department of Dermatology, Fundación Hospital Alcorcón, Alcorcón

6. Department of Neurology, Hospital Clínico San Carlos, Madrid, Spain

Abstract

Ten patients (one man and nine women, mean age 48.8 ± 20.1) presented with a stereotypical and undescribed type of head pain. They complained of strictly unilateral, shooting pain paroxysms starting in a focal area of the posterior parietal or temporal region and rapidly spreading forward to the ipsilateral eye ( n = 7) or nose ( n = 3) along a lineal or zigzag trajectory, the complete sequence lasting 1-10 s. Two patients had ipsilateral lacrimation, and one had rhinorrhoea at the end of the attacks. The attacks could be either spontaneous or triggered by touch on the stemming area ( n = 2), which could otherwise remain tender or slightly painful between the paroxysms ( n = 5). The frequency ranged from two attacks per month to countless attacks per day, and the temporal pattern was either remitting ( n = 5) or chronic ( n = 5). This clinical picture might be a variant of an established headache or represent a novel syndrome.

Publisher

SAGE Publications

Subject

Neurology (clinical),General Medicine

Reference26 articles.

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