Cranial Neuralgias—Trigeminal Neuralgia
Classic trigeminal neuralgia, also known as tic douloureux, presents as paroxysmal attacks of severe, sharp, or stabbing pain in the cutaneous distribution of one or more divisions of the trigeminal…
Classic trigeminal neuralgia, also known as tic douloureux, presents as paroxysmal attacks of severe, sharp, or stabbing pain in the cutaneous distribution of one or more divisions of the trigeminal…
Magnetic resonance imaging (MRI), with special attention to this nerve, is indicated to rule out secondary causes, including aberrant blood vessels, multiple sclerosis, or various mass lesions. Medical therapies are…
Commonly, children have periodic syndromes that develop early as precursors to migraine. These periodic syndromes include paroxysmal torticollis of infancy, benign paroxysmal vertigo of childhood, cyclic vomiting syndrome, and abdominal…
Chronic TTH (15 or more days monthly) is the most prevalent form of chronic daily headache. Episodic TTH usually lasts from 30 minutes to 7 days. It is subclassified into…
• Ipsilateral conjunctival injection and/or lacrimation • Ipsilateral nasal congestion and/or rhinorrhea • Ipsilateral forehead and facial sweating or flushing • Ipsilateral eyelid edema • Ptosis and/or miosis (less common)…
Some individuals suffer more than one of these types of attacks, and there is heterogeneity among patients in the duration of the pain and the number of episodes per day….
When migraine attacks occur infrequently (3 days or fewer per month) and are not associated with prolonged neurologic symptoms, abortive treatments are probably sufficient. However, daily prophylactic treatment should be…
When sensory aura accompanies visual aura, it tends to follow visual aura within minutes. This aura typically begins as unilateral paresthesias in a limb or one side of the face….
Although head pain is the most debilitating aspect of migraine, a migraine attack may unfold through a series of four phases: (1) prodrome, (2) aura (when present), (3) headache, and…
Until the 1980s, the accepted explanation for migraine attacks was the vascular theory of migraine, which suggested that migraine headache was caused by the dilation of cranial blood vessels, while…