Thursday, December 24, 2009

Sluder's neuralgia: a trigeminal autonomic cephalalgia?

Cephalalgia Published Online: 13 Jul 2009
KPQ Oomen 1 , AJM van Wijck 2 , GJ Hordijk 1 & JA de Ru 3
1 Department of Otolaryngology, 2 Pain Clinic, Department of Anaesthesiology, 3 Department of Otolaryngology, Central Militairy Hospital, Utrecht, The Netherlands
Correspondence to KPQ Oomen MD, Department of Otolaryngology, University Medical Center Utrecht, PO Box 85060, 3508 AB Utrecht, The Netherlands. Tel. 0031 88 7555555, e-mail oomenkarin@hotmail.com

 
ABSTRACT
The objective was to formulate distinctive criteria to substantiate our opinion that Sluder's neuralgia and cluster headache are two different clinical entities. A systematic review was carried out of all available, original literature on Sluder's neuralgia. Pain characteristics, periodicity and associated signs and symptoms were studied and listed according to frequency of appearance. Eleven articles on Sluder's neuralgia were evaluated. Several differences between Sluder's neuralgia and cluster headache became evident. Based on described symptoms, new criteria for Sluder's neuralgia could be formulated. Sluder's neuralgia and cluster headache could possibly be regarded as two different headache syndromes, and Sluder's neuralgia could be a trigeminal autonomic cephalalgia.

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