Trigeminal autonomic cephalalgias: diagnostic and therapeutic developments

Abstract

Considerable advances have been made in the diagnostic and therapeutic approaches to trigeminal autonomic cephalalgias and these are important for neurologists to consider.

Research highlights from the literature

“…Peter Goadsby, now at the University of California, San Francisco, reviewed the various types of headache in the June issue of Current Opinions in Neurology, paying particular attention to the group of headaches known as the trigeminal autonomic cephalgias [5]. These include cluster headaches, which last the longest but have the lowest attack frequency, paroxysmal hemicrania, and the short-lasting but frequent unilateral neuralgia-like attacks.…”

Trigeminal Otonomik Sefaljilerde Tedavi

“…Literatürde, carbamazepine (84), oxcarbazepine (85), zonisamide (86) gibi farkl› ilaçlar ile olumlu sonuçlar al›nd›¤› bildirilmekle beraber; birbiri ile z›t düflen vaka çal›flmalar› da mevcuttur (87,88). EFNS trigeminal otonomik sefaljiler tedavi rehberi (2006) ve baz› önemli gözden geçirme yaz›lar›nda (89,90,91) lamotrigine, topiramate ve gabapentin öne ç›kmaktad›r.…”

Short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing syndrome secondary to an epidermoid tumor in the cerebellopontine angle

“…2,10 The most common differential diagnosis of SUNCT is trigeminal neuralgia. 3 Both SUNCT syndrome and trigeminal neuralgia are short-lasting, exhibit cutaneous triggers, and present with lancinating pain associated with autonomic symptoms in the trigeminal distribu- tion.…”

“…8,10 Headache disorders are grouped according to pain intensity, response to therapy, severity of autonomic symptoms, attack frequency, and duration of the attacks. 3 Among the TACs, the SUNCT syndrome has the shortest duration and highest frequency of attacks. The SUNCT syndrome is more common in males, and the mean age at onset (in both sexes) is approximately 50 years.…”