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Subcutaneous Trigeminal Nerve Field Stimulation for Refractory Facial Pain
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Published on: May 10, 2017

Trigeminal autonomic cephalalgia sine headache.

D Y P Haane1, P J Koehler, M P Te Lintelo

  • 1Department of Neurology, Atrium Medical Centre, PO Box 4446, 6401 CX, Heerlen, The Netherlands. ass641@atriummc.nl

Journal of Neurology
|October 27, 2010
PubMed
Summary
This summary is machine-generated.

Cluster headache without headache (CH-H) and paroxysmal hemicrania without headache (PH-H) are rare conditions. We propose trigeminal autonomic cephalalgia without headache (TAC-H) to encompass these and similar headache disorders.

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Published on: September 21, 2015

Area of Science:

  • Neurology
  • Headache Medicine

Background:

  • Cluster headache without headache (CH-H) and paroxysmal hemicrania without headache (PH-H) are rare but described headache disorders.
  • These conditions present with autonomic and/or extracephalic symptoms without the typical headache pain.

Purpose of the Study:

  • To describe new cases of CH-H and PH-H.
  • To propose a unifying term, trigeminal autonomic cephalalgia without headache (TAC-H), for these and similar presentations.
  • To explore the pathophysiological underpinnings of TAC-H.

Main Methods:

  • Case series of three CH-H patients and one probable PH-H patient.
  • Literature review for additional cases of CH-H and PH-H.
  • Discussion of pathophysiological mechanisms, including hypothalamic and superior salivatory nucleus involvement.

Main Results:

  • New cases of CH-H and PH-H were identified.
  • Literature search revealed additional cases supporting the existence of CH-H and PH-H.
  • CH-H attacks may exhibit shorter minimal duration compared to typical CH attacks.

Conclusions:

  • The term trigeminal autonomic cephalalgia without headache (TAC-H) is proposed for autonomic attacks lacking headache.
  • TAC-H may include secondary forms developing after treatment for painful TACs.
  • Pathophysiology may involve diencephalic-hypothalamic activation of the superior salivatory nucleus without nociceptive input.