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Trigeminal Neuralgic‐Type Pain and Vascular‐Type Headache Due to Gustatory Stimulus
Author(s) -
Helcer Monica,
Schnarch Ariel,
Benoliel Rafael,
Sharav Yair
Publication year - 1998
Publication title -
headache: the journal of head and face pain
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.14
H-Index - 119
eISSN - 1526-4610
pISSN - 0017-8748
DOI - 10.1046/j.1526-4610.1998.3802129.x
Subject(s) - carbamazepine , medicine , anesthesia , photophobia , stimulus (psychology) , tongue , surgery , psychology , pathology , psychiatry , epilepsy , psychotherapist
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.