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Trigeminal Neuralgic‐Type Pain and Vascular‐Type Headache Due to Gustatory Stimulus

Identifieur interne : 002284 ( Istex/Curation ); précédent : 002283; suivant : 002285

Trigeminal Neuralgic‐Type Pain and Vascular‐Type Headache Due to Gustatory Stimulus

Auteurs : Monica Helcer ; Ariel Schnarch ; Rafael Benoliel ; Yair Sharav [Israël]

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RBID : ISTEX:46F9F01CBA272B945FB5F2D7AD1C0289EFFFFD9D

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English descriptors

Abstract

We present a case of facial pain associated with sweet stimulus. An immediate, electriclike, short, unilateral pain was evoked by strong sweet gustatory stimulation. This was followed 6 to 8 hours later by a bilateral severe headache associated with bilateral tearing, rhinorrhea, periorbital swelling, flushing, and photophobia that lasted up to 2 days. The immediate pain that was experimentally induced with 2.5 grams of sucrose placed on the tongue could be abolished with carbamazepine. However, carbamazepine did not prevent the headache complex that appeared 6 to 8 hours later. Conversely, a trial with indomethacin abolished the late‐onset headache, but not the immediate neuralgic‐type pain. The independent nature of these pains suggests different pathophysiological mechanisms which are discussed.

Url:
DOI: 10.1046/j.1526-4610.1998.3802129.x

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ISTEX:46F9F01CBA272B945FB5F2D7AD1C0289EFFFFD9D

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Monica Helcer
<affiliation>
<mods:affiliation>From the Orofacial Pain Clinic, Deparment of Oral Diagnosis, Oral Medicine and Oral Radiology, Hebrew University, Hadassah School of Dental Medicine, Jerusalem, Israel (Drs. Helcer and Sharav and Mr. Benoliel) and</mods:affiliation>
<wicri:noCountry code="subField">and</wicri:noCountry>
</affiliation>
Ariel Schnarch
<affiliation>
<mods:affiliation>Rambam Hospital, Haifa, Israel (Dr. Schnarch).</mods:affiliation>
<wicri:noCountry code="subField">Schnarch).</wicri:noCountry>
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Rafael Benoliel
<affiliation>
<mods:affiliation>From the Orofacial Pain Clinic, Deparment of Oral Diagnosis, Oral Medicine and Oral Radiology, Hebrew University, Hadassah School of Dental Medicine, Jerusalem, Israel (Drs. Helcer and Sharav and Mr. Benoliel) and</mods:affiliation>
<wicri:noCountry code="subField">and</wicri:noCountry>
</affiliation>

Le document en format XML

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<div type="abstract" xml:lang="en">We present a case of facial pain associated with sweet stimulus. An immediate, electriclike, short, unilateral pain was evoked by strong sweet gustatory stimulation. This was followed 6 to 8 hours later by a bilateral severe headache associated with bilateral tearing, rhinorrhea, periorbital swelling, flushing, and photophobia that lasted up to 2 days. The immediate pain that was experimentally induced with 2.5 grams of sucrose placed on the tongue could be abolished with carbamazepine. However, carbamazepine did not prevent the headache complex that appeared 6 to 8 hours later. Conversely, a trial with indomethacin abolished the late‐onset headache, but not the immediate neuralgic‐type pain. The independent nature of these pains suggests different pathophysiological mechanisms which are discussed.</div>
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