Epicrania fugax: an ultrabrief paroxysmal epicranial pain
Corresponding Author
JA Pareja
Department of Neurology, Fundación Hospital Alcorcón and Rey Juan Carlos University,
Dr Juan A Pareja, Department of Neurology, Fundación Hospital Alcorcón, Budapest 1, 28922 Alcorcón, Madrid, Spain. Fax + 34 9 1621 9975, e-mail [email protected] or [email protected]Search for more papers by this authorML Cuadrado
Department of Neurology, Fundación Hospital Alcorcón and Rey Juan Carlos University,
Search for more papers by this authorC Fernández-de-las-Peñas
Department of Physical Therapy, Rey Juan Carlos University, Alcorcón, Madrid,
Search for more papers by this authorAB Caminero
Department of Neurology, Hospital N a S a de Sonsoles, Ávila,
Search for more papers by this authorC Nieto
Department of Anaesthesiology, Fundación Hospital Alcorcón and Rey Juan Carlos University,
Search for more papers by this authorC Sánchez
Department of Neurology, Fundación Hospital Alcorcón and Rey Juan Carlos University,
Search for more papers by this authorM Sols
Department of Dermatology, Fundación Hospital Alcorcón, Alcorcón, and
Search for more papers by this authorJ Porta-Etessam
Department of Neurology, Hospital Clínico San Carlos, Madrid, Spain
Search for more papers by this authorCorresponding Author
JA Pareja
Department of Neurology, Fundación Hospital Alcorcón and Rey Juan Carlos University,
Dr Juan A Pareja, Department of Neurology, Fundación Hospital Alcorcón, Budapest 1, 28922 Alcorcón, Madrid, Spain. Fax + 34 9 1621 9975, e-mail [email protected] or [email protected]Search for more papers by this authorML Cuadrado
Department of Neurology, Fundación Hospital Alcorcón and Rey Juan Carlos University,
Search for more papers by this authorC Fernández-de-las-Peñas
Department of Physical Therapy, Rey Juan Carlos University, Alcorcón, Madrid,
Search for more papers by this authorAB Caminero
Department of Neurology, Hospital N a S a de Sonsoles, Ávila,
Search for more papers by this authorC Nieto
Department of Anaesthesiology, Fundación Hospital Alcorcón and Rey Juan Carlos University,
Search for more papers by this authorC Sánchez
Department of Neurology, Fundación Hospital Alcorcón and Rey Juan Carlos University,
Search for more papers by this authorM Sols
Department of Dermatology, Fundación Hospital Alcorcón, Alcorcón, and
Search for more papers by this authorJ Porta-Etessam
Department of Neurology, Hospital Clínico San Carlos, Madrid, Spain
Search for more papers by this authorAbstract
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.
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