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Wiley InterScience | ||||||
  CephalalgiaVolume 27 Issue 11, Pages 1278 - 1282 Published Online: 10 Sep 2007 © 2009 International Headache Society Published on behalf of the International Headache Society
Abstract | References | Full Text: HTML, PDF (Size: 57K) | Related Articles | Citation Tracking  CLINICAL CORRESPONDENCE Migraine with isolated facial pain: a diagnostic challenge Copyright Blackwell Publishing Ltd Cephalalgia, 2007 KEYWORDS Atypical migraine • facial pain • migraine • neuronal plasticity • referred pain Obermann M, Mueller D, Yoon M-S, Pageler L, Diener HC & Katsarava Z. Migraine with isolated facial pain: a diagnostic challenge. Cephalalgia 2007; 27:1278–1282. London. ISSN 0333-1024 ABSTRACTWe present a series of seven migraine patients with typical features of a migraine attack without aura, but atypical pain localization in the face in one or both of the lower two distributions of the trigeminal nerve (V2 and V3). All of them responded well to triptans. Three patients responded to preventive treatment for migraine with β-blockers (n = 2) or valproic acid (n = 1). These cases underline the heterogenic clinical presentation of migraine, which is sometimes difficult to diagnose even for headache specialists, and broaden the pathophysiological understanding of trigeminal nociceptive processing in migraine in the light of neuronal plasticity. Received 6 march 2007, accepted 16 May 2007 | 
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