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A Case of Recurrent Facial Pain Associated With a P ourfour du P etit Syndrome: A New Entity?
Author(s) -
Collongues Nicolas,
Labouret Pascale,
Speeg Claude,
Seze Jérôme
Publication year - 2014
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 - 10.1111/head.12137
Subject(s) - headaches , medicine , migraine , topiramate , facial pain , anesthesia , pediatrics , surgery , epilepsy , psychiatry
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.