Abstract | BACKGROUND: OBJECTIVE: DESIGN: Case report and 4-month follow-up period. SETTING: University-based tertiary referral headache center. PATIENT: INTERVENTION: MAIN OUTCOME MEASURES: Trigeminal sensory phenotype on quantitative sensory testing using thermal threshold and Von Frey hairs. The case report includes patient photographs, neuroimaging, and neurophysiological findings. RESULTS: On the left side, there was continuous pain in V(1) and V(2) and intermittent sharp shooting pains in V(3). The sensory examination showed areas on the left side with pinprick hyperalgesia, cold and heat hyperalgesia, and dynamic mechanical allodynia. The pain in V(1) and V(3) and the allodynia dramatically improved after greater occipital nerve blockade. In the cases reported in the literature, a constant component of the pain was always part of the phenotype, and positive or negative trigeminal sensory signs were frequently described. CONCLUSIONS:
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Authors | Michele Viana, Christine M Glastonbury, Till Sprenger, Peter J Goadsby |
Journal | Archives of neurology
(Arch Neurol)
Vol. 68
Issue 7
Pg. 938-43
(Jul 2011)
ISSN: 1538-3687 [Electronic] United States |
PMID | 21747035
(Publication Type: Case Reports, Journal Article, Review)
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Chemical References |
- Anesthetics, Local
- Lidocaine
|
Topics |
- Adult
- Anesthetics, Local
(therapeutic use)
- Facial Hemiatrophy
(complications)
- Female
- Follow-Up Studies
- Humans
- Lidocaine
(therapeutic use)
- Magnetic Resonance Imaging
- Neuralgia
(complications, drug therapy, etiology)
- Pain Measurement
- Sensory Thresholds
(drug effects, physiology)
- Trigeminal Nerve Diseases
(complications, drug therapy, etiology)
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