Trigeminal autonomic cephalalgia sine headache

Haane, Danielle Yp; Koehler, Peter J.; Lintelo, Merijn P. te; Peatfield, R C

doi:10.1007/s00415-010-5794-y

Cited by 7 publications

(3 citation statements)

References 17 publications

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“…Most recently, Haane et al [20] proposed the term trigeminal autonomic cephalalgia without headache (TAC-H) for autonomic attacks and/or extracephalic pain or sensory symptoms with an attack duration and distribution and/or response to therapy suggesting one of the trigeminal autonomic cephalalgias, but without accompanying headache. In our study, six patients with unclassifiable headaches according to ICHD-II [7] showed complete response to indomethacin.…”

Section: Discussionmentioning

confidence: 99%

Clinical features of unilateral headaches beyond migraine and cluster headache and their response to indomethacin

Seidel

Lieba‐Samal

Vigl

et al. 2011

Wien Klin Wochenschr

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The majority of previous studies on unilateral headaches beyond migraine and cluster headache have focussed on certain disorders such as paroxysmal hemicrania, SUNCT and primary stabbing headache. We assessed headache characteristics, importance of neuroimaging and response to indomethacin in an unselected series of uncommon unilateral headaches. We investigated all consecutive patients presented with unilateral headaches not fulfilling ICHD-II criteria of migraine and cluster headache. Patients underwent cranial magnetic resonance imaging or computed tomography as well as an indo-test, i.e. oral indomethacin 75 mg b.i.d. for 3 days. Among 63 patients we diagnosed primary stabbing headache in 12 patients, (probable) paroxysmal hemicrania in 6 and tension-type headache in 3 patients. One patient each had probable SUNCT, new daily persistent headache and nasociliary neuralgia. Eight patients had a secondary headache and 31 could not be classified according to ICDH-II. Imaging revealed lesions causally related to the headache in 8 patients. Indo-test achieved full remission of headache in 13 of 51 patients. At follow-up 11 ± 3 months after the first visit 29% of the patients were headache-free for ≥3 months. In conclusion, almost half of the patients presented with unilateral headaches beyond migraine and cluster headache cannot be classified according to ICHD-II. Among classifiable headaches primary stabbing headache was the most common. Imaging should be considered to rule out secondary headaches. The course is favourable in one third of the patients.

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Section: Discussionmentioning

confidence: 99%

Clinical features of unilateral headaches beyond migraine and cluster headache and their response to indomethacin

Seidel

Lieba‐Samal

Vigl

et al. 2011

Wien Klin Wochenschr

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“…Also, sensory TCC neurons are modulated by the hypothalamus through the neurotransmitters of the orexinergic system, such as orexin A and B (Holland and Goadsby, 2007). Posterior hypothalamus also modulates parasympathetic and sympathetic system via connections with SSN and secondorder sympathetic neurons in the C8-Th2 intermediolateral columns, respectively (Amonoo-Kuofi, 1999; Haane et al, 2011). Dysfunction in these modulatory pathways is currently thought to produce a permissive state for the occurrence of a TAC attack.…”

Section: Pathophysiologymentioning

confidence: 99%

Trigeminal autonomic cephalalgias: a review

Modestowicz

Kozubski

2016

Aktualn Neurol

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Trigeminal autonomic cephalalgias are a group of primary headache disorders presenting as unilateral pain in the somatic distribution of the trigeminal nerve, associated with ipsilateral cranial autonomic symptoms. This clinicopathologic group includes cluster headache, paroxysmal hemicrania, hemicrania continua and short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing/cranial autonomic features, which differ mainly as regards the duration and frequency of pain as well as response to treatment. These disorders are not as rare as they were thought to be and due to the severity of the pain can substantially affect the patients’ quality of life. Many other forms of primary headaches, such as migraine, trigeminal neuralgia and primary stabbing headache, as well as secondary headaches, particularly those caused by pituitary, posterior fossa, orbital, paranasal sinus and vascular pathology, need to be carefully considered in the diagnosis of trigeminal autonomic cephalalgias. Research in this field, particularly using functional neuroimaging, has resulted in a much better understanding of these disorders. Dysfunction in the nociceptive modulatory pathways in brain’s pain matrix is currently thought to produce a permissive state for the occurrence of a trigeminal autonomic cephalalgia attack, with posterior hypothalamus serving as a terminator rather than the generator of the attack. The current treatment strategies include medical and surgical approaches; of the latter, neuromodulation techniques, particularly deep brain stimulation of posterior hypothalamus, have proven to be particularly effective and promising.

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“…Comparées aux crises douloureuses, les crises sont plus brèves (moins de 15 minutes) et moins fréquentes [30]. Ces crises peuvent être isolées ou associées à des crises douloureuses [29,31,32].…”

Section: Connaître Les Formes Cliniques De L'algie Vasculaire De La Funclassified

Recommandations pour le diagnostic et le traitement de l’algie vasculaire de la face

Donnet

Demarquay

Ducros

et al. 2015

Douleurs : Evaluation - Diagnostic - Traitement

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Trigeminal autonomic cephalalgia sine headache

Cited by 7 publications

References 17 publications

Clinical features of unilateral headaches beyond migraine and cluster headache and their response to indomethacin

Clinical features of unilateral headaches beyond migraine and cluster headache and their response to indomethacin

Trigeminal autonomic cephalalgias: a review

Recommandations pour le diagnostic et le traitement de l’algie vasculaire de la face

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