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Use of the Operant Orofacial Pain Assessment Device OPAD to Measure Changes in Nociceptive Behavior
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Hemicrania continua: Case series presenting in an orofacial pain clinic

Iryna Hryvenko1, Andrés R Cervantes-Chavarría1, Alan S Law2,3

  • 11 Division of TMD & Orofacial Pain, Department of Diagnostic and Biological Sciences, School of Dentistry, University of Minnesota, Minneapolis, MN, USA.

Cephalalgia : an International Journal of Headache
|March 23, 2018
PubMed

Insights

Hemicrania continua (HC) is rare, often presenting as facial pain in orofacial clinics. Effective management requires addressing comorbid conditions and using a multimodal treatment approach for sustained headache control.

Area of Science:

  • Neurology
  • Orofacial Pain Management
  • Headache Disorders

Background:

  • Hemicrania continua (HC) is an uncommon primary headache disorder.
  • Characteristics and management of HC patients in orofacial pain settings are not well-understood.

Purpose of the Study:

  • To describe the clinical features of HC patients managed in an orofacial pain setting.
  • To investigate comorbidities and treatment outcomes for HC.

Main Methods:

  • Retrospective review of patient records from 2015-2017.
  • Inclusion criteria: diagnosis of HC and confirmation at follow-up.

Main Results:

  • Six HC patients (all female, mean age 55) met criteria.
  • Headache involved trigeminal nerve branches (V1, V2, V3) with lacrimation and photophobia.
  • All patients had temporomandibular disorder (TMD); indomethacin provided relief in some cases.

Conclusions:

  • HC patients in orofacial pain clinics often have comorbid pain conditions.
  • Varied symptom presentation necessitates a multimodal treatment strategy for successful management.
Abstract

Keywords:
Trigeminal autonomic cephalalgiascomorbiditydentistryfacial paintemporomandibular joint disorders

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