继发于多发性硬化症的 SUNCT 综合征：不仅仅是三叉神经痛

IF 4.8 2区医学 Q1 CLINICAL NEUROLOGY

Multiple Sclerosis Journal Pub Date : 2024-08-01 Epub Date: 2024-03-01 DOI:10.1177/13524585241235535

Giada Giuliani, Chiara Zilli, Francesca Caramia, Vittorio Di Piero, Marta Altieri

{"title":"继发于多发性硬化症的 SUNCT 综合征：不仅仅是三叉神经痛","authors":"Giada Giuliani, Chiara Zilli, Francesca Caramia, Vittorio Di Piero, Marta Altieri","doi":"10.1177/13524585241235535","DOIUrl":null,"url":null,"abstract":"Background: Facial pain in multiple sclerosis is often due to trigeminal neuralgia but atypical pictures can be observed.Case presentation: A man with primary progressive multiple sclerosis developed severe unilateral facial pain in the right orbital region. Spontaneous and triggered attacks were associated with ipsilateral conjunctival injection and lacrimation. A diagnosis of short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing was made, and symptoms significantly improved with lamotrigine.Conclusion: Pain is poorly investigated in multiple sclerosis, with a dramatic impact on patients' life quality. In this light, standardized evaluation of pain is needed to improve patient management.","PeriodicalId":18874,"journal":{"name":"Multiple Sclerosis Journal","volume":" ","pages":"1227-1229"},"PeriodicalIF":4.8000,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"SUNCT syndrome secondary to multiple sclerosis: Not only trigeminal neuralgia.\",\"authors\":\"Giada Giuliani, Chiara Zilli, Francesca Caramia, Vittorio Di Piero, Marta Altieri\",\"doi\":\"10.1177/13524585241235535\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background: Facial pain in multiple sclerosis is often due to trigeminal neuralgia but atypical pictures can be observed.Case presentation: A man with primary progressive multiple sclerosis developed severe unilateral facial pain in the right orbital region. Spontaneous and triggered attacks were associated with ipsilateral conjunctival injection and lacrimation. A diagnosis of short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing was made, and symptoms significantly improved with lamotrigine.Conclusion: Pain is poorly investigated in multiple sclerosis, with a dramatic impact on patients' life quality. In this light, standardized evaluation of pain is needed to improve patient management.\",\"PeriodicalId\":18874,\"journal\":{\"name\":\"Multiple Sclerosis Journal\",\"volume\":\" \",\"pages\":\"1227-1229\"},\"PeriodicalIF\":4.8000,\"publicationDate\":\"2024-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Multiple Sclerosis Journal\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/13524585241235535\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/3/1 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q1\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Multiple Sclerosis Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/13524585241235535","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/3/1 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}

引用次数: 0

摘要

背景：多发性硬化症患者的面部疼痛通常是由三叉神经痛引起的，但也可能出现非典型症状：一名男性原发性进行性多发性硬化症患者在右眼眶区域出现严重的单侧面部疼痛。自发性和诱发性发作伴有同侧结膜注射和流泪。经诊断，该患者的单侧神经性头痛发作持续时间较短，伴有结膜注射和流泪，服用拉莫三嗪后症状明显改善：结论：对多发性硬化症患者疼痛的研究很少，这对患者的生活质量有很大影响。有鉴于此，需要对疼痛进行标准化评估，以改善对患者的管理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

SUNCT syndrome secondary to multiple sclerosis: Not only trigeminal neuralgia.

Background: Facial pain in multiple sclerosis is often due to trigeminal neuralgia but atypical pictures can be observed.

Case presentation: A man with primary progressive multiple sclerosis developed severe unilateral facial pain in the right orbital region. Spontaneous and triggered attacks were associated with ipsilateral conjunctival injection and lacrimation. A diagnosis of short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing was made, and symptoms significantly improved with lamotrigine.

Conclusion: Pain is poorly investigated in multiple sclerosis, with a dramatic impact on patients' life quality. In this light, standardized evaluation of pain is needed to improve patient management.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Multiple Sclerosis Journal 医学-临床神经学

CiteScore

10.90

自引率

6.90%

发文量

186

审稿时长

3-8 weeks

期刊介绍： Multiple Sclerosis Journal is a peer-reviewed international journal that focuses on all aspects of multiple sclerosis, neuromyelitis optica and other related autoimmune diseases of the central nervous system. The journal for your research in the following areas: * __Biologic basis:__ pathology, myelin biology, pathophysiology of the blood/brain barrier, axo-glial pathobiology, remyelination, virology and microbiome, immunology, proteomics * __Epidemology and genetics:__ genetics epigenetics, epidemiology * __Clinical and Neuroimaging:__ clinical neurology, biomarkers, neuroimaging and clinical outcome measures * __Therapeutics and rehabilitation:__ therapeutics, rehabilitation, psychology, neuroplasticity, neuroprotection, and systematic management Print ISSN: 1352-4585