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International Journal of Morphology

versión On-line ISSN 0717-9502


RAMIREZ, Luis Miguel; BALLESTEROS, Luis Ernesto  y  SANDOVAL, Germán Pablo. Trigeminal Autonomic Cephalalgia by Neurogenic Palatine Compression: A Clinical Report and Review. Int. J. Morphol. [online]. 2007, vol.25, n.3, pp.591-596. ISSN 0717-9502.

This clinical report presents the evolution of a possible intraoral traumatic trigeminal autonomic cephalalgia simulating a probable cluster headache. A 50-year-old female patient had severe right-hand side pain for 7 years with autonomic signs and symptoms, such as lacrimation, conjunctival injection, rhinorrhoea, nasal congestion, forehead perspiration, myosis and eyelid edema. The episodes of pain lasted 4 or 5 months with 3- or 4-month remission periods between the painful onsets. The headaches presented an episodic pattern (1 to 3 attacks daily) lasting three to six hours. The patient had used five prosthetic sets continuously (24 h) for 20 years and the current prosthesis was 7 years old. Accidentally, after the alleviation of the maxillary denture due to it rested on a marked irritated incisive papilla the symptoms disappear. The patient has been periodically checked over a 5 year period since, without recurrence of her pain and autonomic symptomatology. The possible pathophysiology is discussed

Palabras clave : Sphenopalatine Ganglion; Incisive Papilla; Neurovascular Pain; Referred Pain; Temporomandibular Disorders.

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