A Case of Recurrent Facial Pain Associated With a P ourfour du P etit Syndrome: A New Entity?

We report the case of a 38‐year‐old woman with a history of migraine who experienced an association of recurrent unilateral facial pain and P ourfour du P etit syndrome. The episodes occurred for between a few seconds and up to 3 minutes up to 6 times a day mimicking short‐lasting unilateral neuralgiform headaches with cranial autonomic symptoms. No lesional cause was found and the use of topiramate led to a nearly complete disappearance of the episodes. This new entity raises the question of a novel autonomic dysfunction in short‐lasting unilateral neuralgiform headaches with cranial autonomic symptoms or an unexpected presentation of migraine.