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Linear interictal pain in Epicrania Fugax
1Department of Neurology, University Hospital Fundación Alcorcón, Budapest 1, Madrid, 28922, Alcorcón, Spain, japareja.mad@quiron.es.
The Journal of Headache and Pain
|April 29, 2015
Summary
Epicrania Fugax typically causes brief head pain attacks. A rare case shows this condition can also present with persistent, linear interictal pain.
Area of Science:
- Neurology
- Headache Medicine
Background:
- Epicrania Fugax is characterized by paroxysmal, short-lasting head pain.
- Pain follows a linear or zigzag path across one side of the head.
- Patients are typically asymptomatic between pain episodes.
Observation:
- This report details a case of Epicrania Fugax with unusual interictal pain.
- The patient experienced persistent, linear pain between typical paroxysms.
- This pain occurred along the usual trajectory of the fugacious attacks.
Findings:
- Persistent linear pain can be a rare feature of Epicrania Fugax.
- This finding expands the known clinical spectrum of the condition.
- It highlights the importance of considering atypical presentations.
Implications:
- Clinicians should consider persistent linear pain in the differential diagnosis of Epicrania Fugax.
- This may aid in earlier and more accurate diagnosis.
- Further research is needed to understand the mechanisms behind persistent pain in Epicrania Fugax.

