A Cross‐Sectional Clinic‐Based Study in Patients With Side‐Locked Unilateral Headache and Facial Pain

Prakash, Sanjay; Rathore, Chaturbhuj; Makwana, Prayag; Dave, Ankit

doi:10.1111/head.12842

Cited by 20 publications

(40 citation statements)

References 15 publications

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“…A few headache disorders may have pain in the oral cavity and neck. On the other hand, a few pathologies of the oral cavity and neck may produce pain in the head and face [ 2 ]. Herein, we will include all such cases that have such overlaps.…”

Section: Definitionmentioning

confidence: 99%

“…[ 7 ]. We found a prevalence of 19.2 % of all headaches in the Neurology clinic [ 2 ]. Thus, approximately about 20 % of patients presenting with headaches have strictly unilateral headaches.…”

Section: Epidemiologymentioning

confidence: 99%

“…The location of pain is an important point to be considered while making a diagnosis of headache [ 1 ]. The side of pain can be described as always on one side (side-locked headache), side shifting unilateral, unilateral alternating with bilateral, always bilateral and bilateral with more intense pain on one side [ 2 ]. Making the correct diagnosis of side-locked headaches is very important for various reasons.…”

Section: Introductionmentioning

confidence: 99%

“…Making the correct diagnosis of side-locked headaches is very important for various reasons. A few side-locked headaches may have serious underlying pathologies and early diagnosis is paramount to prevent severe complications [ 2 ]. On the other hand, some side-locked headaches respond only to a specific drug [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

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Side-locked headaches: an algorithm-based approach

Prakash

Rathore

2016

J Headache Pain

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The differential diagnosis of strictly unilateral hemicranial pain includes a large number of primary and secondary headaches and cranial neuropathies. It may arise from both intracranial and extracranial structures such as cranium, neck, vessels, eyes, ears, nose, sinuses, teeth, mouth, and the other facial or cervical structure. Available data suggest that about two-third patients with side-locked headache visiting neurology or headache clinics have primary headaches. Other one-third will have either secondary headaches or neuralgias. Many of these hemicranial pain syndromes have overlapping presentations. Primary headache disorders may spread to involve the face and / or neck. Even various intracranial and extracranial pathologies may have similar overlapping presentations. Patients may present to a variety of clinicians, including headache experts, dentists, otolaryngologists, ophthalmologist, psychiatrists, and physiotherapists. Unfortunately, there is not uniform approach for such patients and diagnostic ambiguity is frequently encountered in clinical practice.Herein, we review the differential diagnoses of side-locked headaches and provide an algorithm based approach for patients presenting with side-locked headaches. Side-locked headache is itself a red flag. So, the first priority should be to rule out secondary headaches. A comprehensive history and thorough examinations will help one to formulate an algorithm to rule out or confirm secondary side-locked headaches. The diagnoses of most secondary side-locked headaches are largely investigations dependent. Therefore, each suspected secondary headache should be subjected for appropriate investigations or referral. The diagnostic approach of primary side-locked headache starts once one rule out all the possible secondary headaches. We have discussed an algorithmic approach for both secondary and primary side-locked headaches.

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Section: Definitionmentioning

confidence: 99%

Section: Epidemiologymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Side-locked headaches: an algorithm-based approach

Prakash

Rathore

2016

J Headache Pain

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“…ЦГГБ является наиболее распространенной формой вторичной головной боли и хронических ежедневных головных болей [12,19,20]. Доброкачественное парок-сизмальное позиционное головокружение в сочетании с ЦГГБ занимает 3-е место по частоте после головной боли напряжения с перикраниальной болезненностью и мигренью и без них и составляет 11 % [18].…”

Section: головная боль связанная с ангиопластикой каро-тидных или поunclassified

Місце Цервікогенного Головного Болю В Міжнародній Класифікації Головного Болю

Sorokin¹

2022

INJ

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Відповідно до Міжнародної класифікації головного болю (3-тя редакція (бета-версія), 2013 р.) розглянуто синдроми головних і лицевих болів, що пов’язані з патологією структур шиї. Недостатньо вивченими залишаються патогенетичні механізми саме цервікогенного головного болю, тому цей синдром розглядається як в основній частині класифікації, так і в додатку до класифікації.

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