Trigeminal autonomic cephalalgias: A review of recent diagnostic, therapeutic and pathophysiological developments
- PMID: 23024564
- PMCID: PMC3444219
- DOI: 10.4103/0972-2327.100007
Trigeminal autonomic cephalalgias: A review of recent diagnostic, therapeutic and pathophysiological developments
Abstract
The trigeminal autonomic cephalalgias (TACs) are a group of primary headache disorders that are characterized by strictly unilateral trigeminal distribution pain occurring in association with ipsilateral cranial autonomic symptoms. This group includes cluster headache, paroxysmal hemicrania and short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing. These disorders are very painful, often considered to be some of the most painful conditions known to mankind, and consequently are highly disabling. They are distinguished by the frequency of attacks of pain, the length of the attacks and very characteristic responses to medical therapy, such that the diagnosis can usually be made clinically, which is important because it dictates therapy. The management of TACs can be very rewarding for physicians and highly beneficial to patients.
Keywords: Cluster headache; SUNA; SUNCT; paroxysmal hemicrania; trigeminal autonomic cephalalgias.
Conflict of interest statement
References
-
- Goadsby PJ, Lipton RB. A review of paroxysmal hemicranias, SUNCT syndrome and other short-lasting headaches with autonomic feature, including new cases. Brain. 1997;120:193–209. - PubMed
-
- Benoliel R, Sharav Y. Trigeminal neuralgia with lacrimation or SUNCT syndrome? Cephalalgia. 1998;18:85–90. - PubMed
-
- Tonon C, Guttmann S, Volpini M, Naccarato S, Cortelli P, D’Alessandro R. Prevalence and incidence of cluster headache in the Republic of San Marino. Neurology. 2002;58:1407–9. - PubMed
-
- Torelli P, Beghi E, Manzoni GC. Cluster headache prevalence in the Italian general population. Neurology. 2005;64:469–74. - PubMed
-
- Bahra A, May A, Goadsby PJ. Cluster headache: A prospective clinical study with diagnostic implications. Neurology. 2002;58:354–61. - PubMed
