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Trigeminal Autonomic Cephalalgia and Facial Pain: A Review and Case Presentation

  • Shehryar N. Khawaja1,2,*,
  • Steven J. Scrivani3

1Division of Oral and Maxillofacial Pain, Department of Oral and Maxillofacial Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA

2Department of Internal MedicineShaukat Khanum Memorial Cancer Hospital and Research Center, Lahore, Punjab, Pakistan

3Craniofacial Pain CenterDepartment of Diagnostic SciencesTufts University School of Dental Medicine, Medford, Massachusetts, USA

DOI: 10.11607/ofph.2143 Vol.33,Issue 1,March 2019 pp.1-7

Submitted: 01 January 2017 Accepted: 29 June 2018

Published: 30 March 2019

*Corresponding Author(s): Shehryar N. Khawaja E-mail: khawajashehryar@gmail.com

Abstract

Trigeminal autonomic cephalalgias (TAC) are primary headache disorders that are characterized by severe unilateral pain along the distribution of the trigeminal nerve with corresponding activation of the autonomic nervous system. The clinical characteristics and presentation of TAC are unique; however, there may be an overlap of these features with other painful conditions affecting the orofacial region, which can be a diagnostic challenge for the clinician. This article reports a case history and discusses the differences between clinical characteristics of TAC and other painful orofacial conditions. Refractory pain conditions and the occurrence of episodic pain attacks with accompanying autonomic symptoms necessitate a thorough evaluation to rule out rare causes of head and face pain.

Keywords

cephalalgias;facial pain;headache;primary headache disorders;trigeminal autonomic cephalalgias

Cite and Share

Shehryar N. Khawaja,Steven J. Scrivani. Trigeminal Autonomic Cephalalgia and Facial Pain: A Review and Case Presentation. Journal of Oral & Facial Pain and Headache. 2019. 33(1);1-7.

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