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Migraine presenting as isolated facial pain: A prospective clinical analysis of 58 cases.

表现为孤立性面部疼痛的偏头痛: 58 例前瞻性临床分析。

  • 影响因子:2.97
  • DOI:10.1177/0333102420933277
  • 作者列表:"Lambru G","Elias LA","Yakkaphan P","Renton T
  • 发表时间:2020-06-17
Abstract

BACKGROUND:Sparse evidence has detailed the clinical phenotype of migraine presenting as isolated facial pain. Objective and methods: This was a prospective audit, part of our multidisciplinary facial pain service evaluation, aiming to phenotype patients with migraine presenting as isolated facial pain who attended our service between 2013 and 2018. RESULTS:Fifty-eight patients were diagnosed with migraine with isolated facial pain (F = 46, 79.3%; mean age: 49.0 years, ± 9.85). Sixty-six percent of patients met the criteria for episodic migraine. The pain was strictly unilateral in 79% and located over the maxillary region in 85% of patients. Associated cranial autonomic signs/symptoms were reported by 45% of our cohort. A percentage of 77% of patients was triptan responders. CONCLUSIONS:Migraine presenting as isolated facial pain is a rare but treatable condition with some distinct demographic and clinical characteristics. It is a diagnosis of exclusion that should be evaluated in specialised multidisciplinary facial pain clinics.

摘要

背景: 稀疏的证据详述了表现为孤立性面部疼痛的偏头痛的临床表型。目的和方法: 这是一项前瞻性审计,是我们多学科面部疼痛服务评估的一部分,旨在 2013 年至 2018 年期间参加我们服务的表现为孤立性面部疼痛的偏头痛表型患者。 结果: 58 例患者被诊断为伴有孤立性面部疼痛的偏头痛 (f = 79.3%; 平均年龄: 49.0 岁,± 9.85)。6% 的患者符合发作性偏头痛的标准。79% 的患者疼痛严格为单侧,85% 的患者疼痛位于上颌区域。我们 45% 的队列报告了相关的头颅自主神经体征/症状。77% 的患者是曲坦应答者。 结论: 表现为孤立性面部疼痛的偏头痛是一种罕见但可治疗的疾病,具有一些独特的人口统计学和临床特征。这是一个排除的诊断,应该在专业的多学科面部疼痛诊所进行评估。

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