Facial migraine in a rhinological setting

被引:58
作者
Daudia, AT [1 ]
Jones, NS [1 ]
机构
[1] Univ Nottingham, Dept Otorhinolaryngol Head & Neck Surg, Nottingham NG7 2UH, England
关键词
pain; migraine; paranasal sinuses; sinusitis;
D O I
10.1046/j.1365-2273.2002.00628.x
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
This study aims to investigate the incidence of migraine involving the face in a rhinology clinic and to describe its characteristics. It is a study of a cohort of 973 patients consecutively presenting to the outpatient clinic with symptoms of facial pain and/or rhinosinusitis. The study subgroup consisted of patients with facial pain and migraine excluding cluster headache and paroxysmal hemicrania. We studied the features of 51 patients who had facial pain with migraine. The diagnosis was based on the criteria used by the International Headache Society and was also supported by the outcome and response to treatment after a mean of 2 years and 2 months. Of the 973 consecutive patients, 409 (42%) had symptoms of facial pain and/or head pain or pressure. Fifty-one (12%) had migraine. Of these, 39 (76%) had unilateral pain and, in 12 (24%), it was bilateral. The distribution affected the forehead and/or eye or cheek in 32 (63%) patients. Twenty-four (47%) had migraine isolated to the second division of the trigeminal nerve. Twelve per cent of patients attending a rhinology clinic with facial pain had migraine. Of particular interest were the 6% of patients with facial pain who had migraine confined to the second division of the trigeminal nerve. This entity is not widely recognized and has rarely been described in the literature.
引用
收藏
页码:521 / 525
页数:5
相关论文
共 22 条
[1]  
BRADLEY WG, 2000, NEUROLOGY CLIN PRACT, V1, P267
[2]   FACIAL-PAIN DUE TO MIGRAINE AND CLUSTER HEADACHE [J].
CAMPBELL, JK .
SEMINARS IN NEUROLOGY, 1988, 8 (04) :324-331
[3]  
CAMPBELL KJ, 1990, NEUROL CLIN HEADACHE, V8, P847
[4]   NEUROPEPTIDES IN THE CEREBRAL-CIRCULATION - RELEVANCE TO HEADACHE [J].
EDVINSSON, L ;
GOADSBY, PJ .
CEPHALALGIA, 1995, 15 (04) :272-276
[5]   Fortnightly review - Diagnosis and management of migraine [J].
Goadsby, PJ ;
Olesen, J .
BRITISH MEDICAL JOURNAL, 1996, 312 (7041) :1279-1283
[6]   THE TRIGEMINOVASCULAR SYSTEM AND MIGRAINE - STUDIES CHARACTERIZING CEREBROVASCULAR AND NEUROPEPTIDE CHANGES SEEN IN HUMANS AND CATS [J].
GOADSBY, PJ ;
EDVINSSON, L .
ANNALS OF NEUROLOGY, 1993, 33 (01) :48-56
[7]   RELEASE OF VASOACTIVE PEPTIDES IN THE EXTRACEREBRAL CIRCULATION OF HUMANS AND THE CAT DURING ACTIVATION OF THE TRIGEMINOVASCULAR SYSTEM [J].
GOADSBY, PJ ;
EDVINSSON, L ;
EKMAN, R .
ANNALS OF NEUROLOGY, 1988, 23 (02) :193-196
[8]   Neuroimaging in headache [J].
Goadsby, PJ .
MICROSCOPY RESEARCH AND TECHNIQUE, 2001, 53 (03) :179-187
[9]  
Goadsby PJ, 1999, J ROY COLL PHYS LOND, V33, P228
[10]   EPISODIC ATAXIAS AS CHANNELOPATHIES [J].
GRIGGS, RC ;
NUTT, JG .
ANNALS OF NEUROLOGY, 1995, 37 (03) :285-287