Orofacial pain with vascular-type features

Migraine With Isolated Facial Pain: A Diagnostic Challenge

“…Benoliel et al. reported eight patients suffering from orofacial pain with vascular‐type features similar to those in migraine without aura (8). Daudia et al.…”

Orofacial pain management: current perspectives

“…V2 gives rise to the nervus meningeus medius, which innervates the dura mater of the anterior floor of the middle fossa, and this may explain the localization of the pain in the maxillary area. Migraine symptomatology localized on the V3 territory has also been reported,101,114,115 and this could be explained since it is well recognized that stimulation of the dura mater in animals during electrophysiological experiments, and in humans during neurosurgery, induces pain in any of the three divisions of the trigeminal nerve 101,116. More detailed reviews on migraine pathophysiology can be found elsewhere 103,117…”

Pain Remapping in Migraine to the Orofacial Region

“…This was spontaneous in some cases and following trauma in some, as reported by Hussain et al. An interesting finding is that the reported age of onset in orofacial migraine is from 35 9 to about 40 years old, 2,3 relatively higher than would be expected in typical migraine. This finding may support the phenomenon of “relocation” as some of our cases reported that in the past they had suffered typically located and symptomatic migraines.…”

“…Unfortunately, some important data have been omitted from Hussain et al's report, 1 including our own studies, which lend support to the entity described as facial migraine and its possible relocation from a more characteristic head region. In our first prospective study, published in 1997, we collected 29 cases with largely episodic, unilateral, throbbing pain that often woke patients and were accompanied by complaints of nausea and photo/phonophobia and more rarely, local autonomic signs 3 . The cases were very similar to migraine but “atypical” largely due to the fact that the main focus of pain was intra‐ or perioral 3 .…”

“…In our first prospective study, published in 1997, we collected 29 cases with largely episodic, unilateral, throbbing pain that often woke patients and were accompanied by complaints of nausea and photo/phonophobia and more rarely, local autonomic signs 3 . The cases were very similar to migraine but “atypical” largely due to the fact that the main focus of pain was intra‐ or perioral 3 . Our second study 2 presented a further 23 cases and proposed diagnostic criteria for orofacial migraine (or the less specific term neurovascular orofacial pain) with a calculated positive predictive value of 0.71 and a negative predictive value of 0.95.…”