Trigeminal autonomic cephalalgias: The impersonators
Orofacial pain disorders are highly prevalent and debilitating conditions involving the head, face, and neck. Headache is the most common complaint reported to dental and medical practitioners, which manifests as a myriad of neuro-ophthalmologic symptoms, including orbital pain, disturbances of visi...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2019-01-01
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| Series: | Indian Journal of Pain |
| Subjects: | |
| Online Access: | http://www.indianjpain.org/article.asp?issn=0970-5333;year=2019;volume=33;issue=2;spage=62;epage=66;aulast=Jose |
| _version_ | 1818453210613940224 |
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| author | Agrah Jose R Sesha Prasad Anuradha Pai |
| author_facet | Agrah Jose R Sesha Prasad Anuradha Pai |
| author_sort | Agrah Jose |
| collection | DOAJ |
| description | Orofacial pain disorders are highly prevalent and debilitating conditions involving the head, face, and neck. Headache is the most common complaint reported to dental and medical practitioners, which manifests as a myriad of neuro-ophthalmologic symptoms, including orbital pain, disturbances of vision, aura, photophobia, lacrimation, conjunctival injection, ptosis, and other manifestations. The differential diagnosis is extensive and includes both primary and secondary headache disorders. The similarity in clinical presentation and diagnostic features is a challenge to the clinicians because of two facts: (a) the orofacial region is complex and (b) pain can arise from many sources. The term “trigeminal autonomic cephalalgias (TACs)” includes a group of headache disorders characterized by moderate-to-severe, short-lived head pain in the trigeminal distribution, with accompanying unilateral cranial parasympathetic autonomic features, such as lacrimation, rhinorrhea, conjunctival injection, eyelid edema, and ptosis. TACs include cluster headache (CH), paroxysmal hemicrania (PH), short-lasting unilateral neuralgiform headache attacks, and hemicrania continua. They are grouped on the basis of their shared clinical features of unilateral headache of varying durations and ipsilateral cranial autonomic symptoms. TACs are rare with the prevalence rate of <1%. The peculiarity of these conditions is their similar clinical presentation and overlapping features. A sound knowledge of TACs is essential for proper diagnosis. Moreover, multidisciplinary approaches for the management of these conditions are strongly recommended. Hence, the aim of this article is to provide an overview of trigeminal autonomic cephalalgias. |
| first_indexed | 2024-12-14T21:35:22Z |
| format | Article |
| id | doaj.art-0337eb12cb444995a34375de9b4ebdf5 |
| institution | Directory Open Access Journal |
| issn | 0970-5333 |
| language | English |
| last_indexed | 2024-12-14T21:35:22Z |
| publishDate | 2019-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Pain |
| spelling | doaj.art-0337eb12cb444995a34375de9b4ebdf52022-12-21T22:46:35ZengWolters Kluwer Medknow PublicationsIndian Journal of Pain0970-53332019-01-01332626610.4103/ijpn.ijpn_2_19Trigeminal autonomic cephalalgias: The impersonatorsAgrah JoseR Sesha PrasadAnuradha PaiOrofacial pain disorders are highly prevalent and debilitating conditions involving the head, face, and neck. Headache is the most common complaint reported to dental and medical practitioners, which manifests as a myriad of neuro-ophthalmologic symptoms, including orbital pain, disturbances of vision, aura, photophobia, lacrimation, conjunctival injection, ptosis, and other manifestations. The differential diagnosis is extensive and includes both primary and secondary headache disorders. The similarity in clinical presentation and diagnostic features is a challenge to the clinicians because of two facts: (a) the orofacial region is complex and (b) pain can arise from many sources. The term “trigeminal autonomic cephalalgias (TACs)” includes a group of headache disorders characterized by moderate-to-severe, short-lived head pain in the trigeminal distribution, with accompanying unilateral cranial parasympathetic autonomic features, such as lacrimation, rhinorrhea, conjunctival injection, eyelid edema, and ptosis. TACs include cluster headache (CH), paroxysmal hemicrania (PH), short-lasting unilateral neuralgiform headache attacks, and hemicrania continua. They are grouped on the basis of their shared clinical features of unilateral headache of varying durations and ipsilateral cranial autonomic symptoms. TACs are rare with the prevalence rate of <1%. The peculiarity of these conditions is their similar clinical presentation and overlapping features. A sound knowledge of TACs is essential for proper diagnosis. Moreover, multidisciplinary approaches for the management of these conditions are strongly recommended. Hence, the aim of this article is to provide an overview of trigeminal autonomic cephalalgias.http://www.indianjpain.org/article.asp?issn=0970-5333;year=2019;volume=33;issue=2;spage=62;epage=66;aulast=JoseCluster headacheorofacial painparoxysmal hemicraniashort-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing syndrometrigeminal autonomic cephalalgias |
| spellingShingle | Agrah Jose R Sesha Prasad Anuradha Pai Trigeminal autonomic cephalalgias: The impersonators Indian Journal of Pain Cluster headache orofacial pain paroxysmal hemicrania short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing syndrome trigeminal autonomic cephalalgias |
| title | Trigeminal autonomic cephalalgias: The impersonators |
| title_full | Trigeminal autonomic cephalalgias: The impersonators |
| title_fullStr | Trigeminal autonomic cephalalgias: The impersonators |
| title_full_unstemmed | Trigeminal autonomic cephalalgias: The impersonators |
| title_short | Trigeminal autonomic cephalalgias: The impersonators |
| title_sort | trigeminal autonomic cephalalgias the impersonators |
| topic | Cluster headache orofacial pain paroxysmal hemicrania short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing syndrome trigeminal autonomic cephalalgias |
| url | http://www.indianjpain.org/article.asp?issn=0970-5333;year=2019;volume=33;issue=2;spage=62;epage=66;aulast=Jose |
| work_keys_str_mv | AT agrahjose trigeminalautonomiccephalalgiastheimpersonators AT rseshaprasad trigeminalautonomiccephalalgiastheimpersonators AT anuradhapai trigeminalautonomiccephalalgiastheimpersonators |