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Target Concepts:
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Query: UMLS:C0018681 (
headache
)
56,091
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
A total of 26 episodes of
V-1
trigeminal neuralgia attacks have been recorded in two female patients. Autonomic phenomena were assessed according to a semiquantitative scale. Attacks lasted 17 +/- 5 s. Mild lacrimation without conjunctival hyperaemia, rhinorrhea or ptosis was observed, even in relatively long lasting episodes. This is in clear contradiction with SUNCT (shortlasting, unilateral, neuralgiform
headache
with conjunctival injection, tearing and rhinorrhea) attacks that are always dramatically accompanied by both lacrimation and conjunctival injection of the symptomatic side from the very onset of symptoms. Carbamazepine provided complete and sustained relief of symptoms in both patients. Herein we will show differential autonomic features of
V-1
trigeminal neuralgia vs. SUNCT that will both aid the clinician to distinguish both syndromes and stress that both entities are nosologicaly different.
Cephalalgia
2002 May
PMID:Objective assessment of autonomic signs during triggered first division trigeminal neuralgia. 1210 85
Objective measurements of duration of attacks have been performed in 8 (5 female and 3 male) patients suffering from primary first division (
V-1
) trigeminal neuralgia. The mean age of the patients was 67.5 +/- 11.4 years, and the mean age at onset 64.0 +/- 9.7 years. During the study the patients were off treatment. A total of 192 attacks were witnessed by the authors and exactly timed by a stop-watch. The duration of attacks ranged from 2 to 32 s, with a mean of 6.5 +/- 6.1 s. The unweighted mean was 8.8 +/- 5.7 s, with a range of 2.4-17.5 s. With the present data the duration of attacks of
V-1
neuralgia has been exactly determined, and the clinical distinction of
V-1
neuralgia from other shortlasting
headaches
, particularly from SUNCT, has been substantially clarified.
Cephalalgia
2005 Apr
PMID:Duration of attacks of first division trigeminal neuralgia. 1577 28