Trigeminal autonomic cephalalgias

摘要: ABSTRACT Background The authors review the epidemiology, clinical features, pathophysiology, diagnosis, treatment, orofacial presentations and dental implications of trigeminal autonomic cephalalgias (TACs): cluster headache (CH), paroxysmal hemicrania (PH) short-lasting unilateral neuralgiform attacks with conjunctival injection tearing (SUNCT). Types Studies Reviewed conducted PUBMED searches for period from 1968 through 2007 using terms “trigeminal cephalalgias,” “cluster headache,” “paroxysmal hemicrania,” “short-lasting tearing,” “epidemiology,” “pathophysiology,” “treatment,” “oral,” “facial” “dentistry.” They gave preference to articles reporting randomized, controlled trials those published in English-language peer-reviewed journals. Results TACs refers a group headaches characterized by head pain, facial pain or both accompanying features. Although their pathophysiologies are unclear, CH, PH SUNCT may be differentiated according characteristics. Current treatments each useful alleviating few refractory cases requiring surgical intervention. Patients often visit offices seeking relief pain. Clinical Implications prevalence is small, it important dentists recognize disorder refer patients neurologist. This will avoid pitfall administering unnecessary inappropriate traditional an attempt alleviate neurovascular