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首页> 外文期刊>The Canadian Journal of Neurological Sciences: le Journal Canadien des Sciences Neurologiques >Trigeminal Autonomic Cephalalgia Secondary to Spontaneous Trigeminal Hemorrhage
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Trigeminal Autonomic Cephalalgia Secondary to Spontaneous Trigeminal Hemorrhage

机译：三际自主脑痛继发于自发性三叉出血

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摘要

The majority of trigeminal autonomic cephalalgias (TACs) are primary headache syndromes but secondary etiologies should be excluded. In the presence of TACs, imaging is recommended in order to rule out secondary causes which include structural, vascular, demyelinating, and inflammatory lesions. We describe the case of a 52-year-old man who presented to the emergency room after being awakened by a new-onset paroxysmal episode of intense pain in the left periorbital area lasting 5-10 min accompanied by ipsilateral eye tearing, rhinor-rhea, and conjunctival injection. Left paranasal paresthesia extending into the maxillary branch was reported. A second identical episode followed shortly before being evaluated by the neurology team. The patient had no past medical history and denied taking any medication, supplements, or illicit drugs.
机译：大多数三叉神经自主性头痛（TACs）是原发性头痛综合征，但应排除继发性病因。在有TACs的情况下，建议进行影像学检查，以排除继发性原因，包括结构性、血管性、脱髓鞘和炎症性病变。我们描述了一名52岁男子的病例，他在被左侧眶周区持续5-10分钟的新发阵发性剧烈疼痛惊醒后，出现在急诊室，并伴有同侧眼撕裂、鼻出血和结膜注射。据报道，左侧副鼻部感觉异常延伸至上颌支。第二个相同的事件发生后不久，神经病学团队进行了评估。该患者没有既往病史，否认服用任何药物、补充剂或非法药物。

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