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Published on: September 21, 2015
Orofacial pain with vascular-type features
R Benoliel1, H Elishoov, Y Sharav
1Department of Oral Diagnosis, Oral Medicine, and Oral Radiology, Hebrew University, Hadassah School of Dental Medicine, Jerusalem, Israel.
Objective:
To examine whether a classifiable primary vascular-type craniofacial pain subgroup exists that predominantly affects intraoral structures.
Study Design:
Fifty-five patients were chosen prospectively according to the following inclusion criteria; periodic craniofacial pain that was unilateral, pulsatile, severe, and that may wake the patient from sleep. Accompanying phenomena could include local autonomic and/or systemic signs. Twenty-six cases could be further classified into one of the categories of vascular craniofacial pain. The remaining 29, all with predominantly intraoral pain, were not readily classifiable.
Results:
Of the 29 patients 70% were women, with an average onset-age of 42.6 years. All reported severe, episodic pain that was usually unilateral and lasted minutes to hours. In all, 55% of patients had autonomic or systemic signs, 48% had pulsatile pain, and 35.4% of patients were awakened by the pain.
Conclusion:
Although clinical similarities were observed within these patients, further studies are needed to confirm vascular orofacial pain as a clear diagnostic category.
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