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Extracephalic yawning pain.

D E Jacome1

  • 1Franklin Medical Center, Department of Medicine, Greenfield, MA, USA. djacome@comcast.net

Cephalalgia : an International Journal of Headache
|April 21, 2004
PubMed
Summary
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This study presents two cases of yawning-induced pain outside the head, a rare presentation. Yawning pain can occur extracephalically, sometimes indicating underlying lesions.

Area of Science:

  • Neurology
  • Pain Medicine

Background:

  • Yawning can trigger pain, typically in the head (cephalic pain).
  • Primary yawning pain usually occurs without identifiable lesions and is cephalic.
  • Secondary yawning pain is linked to specific conditions or lesions.

Observation:

  • Two patients experienced recurrent, paroxysmal, extracephalic pain triggered by yawning.
  • Patient 1: Right shoulder pain and apnea. Patient 2: Neck pain later diagnosed as Hürthle cell carcinoma.
  • Neither patient could induce pain by imitating yawning; Eagle syndrome was ruled out.

Findings:

  • Yawning pain can manifest outside the head (extracephalic) and involve nerves beyond the trigeminal nerve (extratrigeminal).
  • The location of extracephalic yawning pain may rarely indicate an underlying lesion.

Related Experiment Videos

  • One patient's extracephalic pain was associated with a thyroid tumor.

    • Implications:

    • This expands the known clinical spectrum of yawning-induced pain.
    • Highlights the importance of considering extracephalic pain presentations in neurological evaluations.
    • Suggests that yawning pain, even when extracephalic, warrants thorough investigation for potential underlying pathologies.