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Cyclical Head and Face Pain: Its Diagnosis and Treatment

Cyclical Head and Face Pain: Its Diagnosis and Treatment Abstract Introduction The diagnosis and treatment of cyclical facial pain is difficult for a number of reasons. The complex cranial- and cervical-root innervation, lack of correlation between the findings of the neurophysiologist and those of the clinician, and the psychological aspects, all add to the intricacy of the physician's problem.The present report deals with our experiences with the typical and atypical neuralgias at the Headache Unit the Divisions of Neurology and Neurosurgery of Montefiore Hospital during the past 11 years; classic migraine is not considered in our study. The material includes 206 ambulatory and 88 inpatients and is selective in that most of the patients are chronic sufferers from facial cephalalgia and have been treated previously with a variety of therapeutic procedures. This clinical group presents a common and important type of facial pain, of interest to all branches of medicine. The term "cyclical" is used to indicate recurrent attacks References 1. Müller, R.: Studies in Disseminated Sclerosis, with Special Reference to Symptomatology, Course and Prognosis , Acta med. scandinav. ( (Supp. 222) ) 133:1, 1949. 2. Harris, W.: Neuritis and Neuralgia , New York, Oxford University Press, 1926. 3. Vallery-Radot, P.; Wolfromm, R., and Barbizet, J.: Syndrome de vaso-dilatation hémicéphalique ou céphalée histaminique , Presse méd. 59:589, 1951. 4. Bing, R.: Personal communication to Dr. A. P. Friedman, 1953. 5. Sluder, G.: The Role of the Sphenopalatine (or Meckel's Ganglion) in Nasal Headaches , New York J. Med. 87:989, 1908. 6. Vallery-Radot, P., and Blamoutier, P.: Syndrome de vasodilatation hémicéphalique d'origine sympathique , Bull. et mém. Soc. méd. hôp. Paris 49:1488, 1925. 7. Harris, W.: Ciliary (Migrainous) Neuralgia and Its Treatment , Brit. M.J. 1:457, 1936.Crossref 8. Vail, H. H.: Vidian Neuralgia , Ann. Otol. Rhin. & Laryng. 41:837, 1932. 9. Brickner, R. M., and Riley, H. A.: Autonomic Facio-Cephalalgia , Bull. Neurol. Inst. New York 4:422, 1935. 10. Horton, B. T.; MacLean, A. R., and Craig, W. McK.: New Syndrome of Vascular Headache: Result of Treatment with Histamine; Preliminary Report , Proc. Staff Meet. Mayo Clin. 14:257, 1939. 11. Gardner, W. J.; Stowell, A., and Dutlinger, R.: Resection of Greater Petrosal Nerve in Treatment of Unilateral Headache , J. Neurosurg. 4:105, 1947. 12. Symonds, C. P.: A Particular Variety of Headache , Brain 79:217, 1956. 13. Friedman, A. P., and Mikropoulos, H. E.: Cluster Headache , Neurology 8:653, 1958. 14. Horton, B. T.: Histaminic Cephalalgia , Journal-Lancet 72:92, 1952. 15. Wolff, H. G.: Headache and Other Head Pain , New York, Oxford University Press, 1948. 16. Ostfeld, A. M.; Chapman, L. F.; Goodell, H., and H. G. Wolff: Studies in Headache: A Summary of Evidence Implicating a Locally Active Chemical Agent in Migraine , Tr. Am. Neurol. A. 81:35, 1956. 17. Frazier, C. H., and Russell, E. C.: Neuralgia of the Face: An Analysis of 754 Cases with Relation to Pain and Other Sensory Phenomena Before and After Operation , Arch. Neurol. & Psychiat. 11:557, 1924. 18. Friedman, A. P., and Merritt, H. H.: Headache: Diagnosis and Treatment , Philadelphia, F. A. Davis Company, 1959. 19. Friedman, A. P.; von Storch, T. J. C., and Merritt, H. H.: Migraine and Tension Headaches: A Clinical Study of 2,000 Cases , Neurology 4:773, 1954. 20. Horton, B. T.: Histaminic Cephalgia: Differential Diagnosis and Treatment : Proc. Staff Meet. Mayo Clin. 31:325, 1956. 21. von Storch, T. J. C.: Complications Following the Use of Ergotamine Tartrate: Their Relation to Treatment of Migraine Headache , J.A.M.A. 111:293, 1938. 22. Sweet, W. H., and White, J. C.: Pain Fibers in the Petrosal Nerves , Tr. Am. Neurol. A. 77:240, 1952. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Neurology American Medical Association

Cyclical Head and Face Pain: Its Diagnosis and Treatment

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Publisher
American Medical Association
Copyright
Copyright © 1960 American Medical Association. All Rights Reserved.
ISSN
0375-8540
DOI
10.1001/archneur.1960.03840070003001
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Abstract

Abstract Introduction The diagnosis and treatment of cyclical facial pain is difficult for a number of reasons. The complex cranial- and cervical-root innervation, lack of correlation between the findings of the neurophysiologist and those of the clinician, and the psychological aspects, all add to the intricacy of the physician's problem.The present report deals with our experiences with the typical and atypical neuralgias at the Headache Unit the Divisions of Neurology and Neurosurgery of Montefiore Hospital during the past 11 years; classic migraine is not considered in our study. The material includes 206 ambulatory and 88 inpatients and is selective in that most of the patients are chronic sufferers from facial cephalalgia and have been treated previously with a variety of therapeutic procedures. This clinical group presents a common and important type of facial pain, of interest to all branches of medicine. The term "cyclical" is used to indicate recurrent attacks References 1. Müller, R.: Studies in Disseminated Sclerosis, with Special Reference to Symptomatology, Course and Prognosis , Acta med. scandinav. ( (Supp. 222) ) 133:1, 1949. 2. Harris, W.: Neuritis and Neuralgia , New York, Oxford University Press, 1926. 3. Vallery-Radot, P.; Wolfromm, R., and Barbizet, J.: Syndrome de vaso-dilatation hémicéphalique ou céphalée histaminique , Presse méd. 59:589, 1951. 4. Bing, R.: Personal communication to Dr. A. P. Friedman, 1953. 5. Sluder, G.: The Role of the Sphenopalatine (or Meckel's Ganglion) in Nasal Headaches , New York J. Med. 87:989, 1908. 6. Vallery-Radot, P., and Blamoutier, P.: Syndrome de vasodilatation hémicéphalique d'origine sympathique , Bull. et mém. Soc. méd. hôp. Paris 49:1488, 1925. 7. Harris, W.: Ciliary (Migrainous) Neuralgia and Its Treatment , Brit. M.J. 1:457, 1936.Crossref 8. Vail, H. H.: Vidian Neuralgia , Ann. Otol. Rhin. & Laryng. 41:837, 1932. 9. Brickner, R. M., and Riley, H. A.: Autonomic Facio-Cephalalgia , Bull. Neurol. Inst. New York 4:422, 1935. 10. Horton, B. T.; MacLean, A. R., and Craig, W. McK.: New Syndrome of Vascular Headache: Result of Treatment with Histamine; Preliminary Report , Proc. Staff Meet. Mayo Clin. 14:257, 1939. 11. Gardner, W. J.; Stowell, A., and Dutlinger, R.: Resection of Greater Petrosal Nerve in Treatment of Unilateral Headache , J. Neurosurg. 4:105, 1947. 12. Symonds, C. P.: A Particular Variety of Headache , Brain 79:217, 1956. 13. Friedman, A. P., and Mikropoulos, H. E.: Cluster Headache , Neurology 8:653, 1958. 14. Horton, B. T.: Histaminic Cephalalgia , Journal-Lancet 72:92, 1952. 15. Wolff, H. G.: Headache and Other Head Pain , New York, Oxford University Press, 1948. 16. Ostfeld, A. M.; Chapman, L. F.; Goodell, H., and H. G. Wolff: Studies in Headache: A Summary of Evidence Implicating a Locally Active Chemical Agent in Migraine , Tr. Am. Neurol. A. 81:35, 1956. 17. Frazier, C. H., and Russell, E. C.: Neuralgia of the Face: An Analysis of 754 Cases with Relation to Pain and Other Sensory Phenomena Before and After Operation , Arch. Neurol. & Psychiat. 11:557, 1924. 18. Friedman, A. P., and Merritt, H. H.: Headache: Diagnosis and Treatment , Philadelphia, F. A. Davis Company, 1959. 19. Friedman, A. P.; von Storch, T. J. C., and Merritt, H. H.: Migraine and Tension Headaches: A Clinical Study of 2,000 Cases , Neurology 4:773, 1954. 20. Horton, B. T.: Histaminic Cephalgia: Differential Diagnosis and Treatment : Proc. Staff Meet. Mayo Clin. 31:325, 1956. 21. von Storch, T. J. C.: Complications Following the Use of Ergotamine Tartrate: Their Relation to Treatment of Migraine Headache , J.A.M.A. 111:293, 1938. 22. Sweet, W. H., and White, J. C.: Pain Fibers in the Petrosal Nerves , Tr. Am. Neurol. A. 77:240, 1952.

Journal

A.M.A. Archives of NeurologyAmerican Medical Association

Published: Jan 1, 1960

References