Overview of trigeminal autonomic cephalalgias: Nosologic evolution, diagnosis, and management

Diana Yi Ting Wei, Jonathan Yuan Ong, Peter James Goadsby*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

7 Citations (Scopus)

Abstract

The term trigeminal autonomic cephalalgias (TACs) encompasses four primary headache disorders - cluster headache, paroxysmal hemicrania (PH), hemicrania continua (HC), short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT)/short-lasting unilateral neuralgiform headache attacks with cranial autonomic symptoms (SUNA). All of these except HC are characterized by short-lasting headaches. HC is characterized by a continuous unilateral headache that waxes and wanes in its intensity without complete resolution. It is included in the TACs group given the overlap in the activation of the posterior hypothalamic grey, and the shared clinical feature of unilateral head pain with ipsilateral cranial autonomic symptoms. The present review gives an overview of the nosologic evolution, diagnosis, and management of TACs.

Original languageEnglish
Pages (from-to)S39-S44
JournalAnnals of Indian Academy of Neurology
Volume21
Issue number5
DOIs
Publication statusE-pub ahead of print - 11 Apr 2018

Keywords

  • Cluster headache
  • hemicrania continua
  • paroxysmal hemicrania
  • short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing
  • short-lasting unilateral neuralgiform headache attacks with cranial autonomic symptoms
  • trigeminal autonomic cephalalgias

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