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The Journal of Headache and Pain
Published in: The Journal of Headache and Pain 1/2019

Open Access 01-12-2019 | Migraine | Research article

Trigeminal autonomic cephalalgias presenting in a multidisciplinary tertiary orofacial pain clinic

Authors: D. Y. Wei, D. Moreno-Ajona, T. Renton, P. J. Goadsby

Published in: The Journal of Headache and Pain | Issue 1/2019

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Abstract

Orofacial pain may have a variety of causes and offers a significant clinical challenge for its diagnosis and management.

Objective

To assess the headache disorders presenting in a tertiary multidisciplinary orofacial pain clinic, after dental causes have been excluded.

Methods

Clinic letters from the initial consultation and subsequent follow up reviews of the 142 patients, who were seen in the tertiary Multidisciplinary Orofacial Pain clinic between January 2015 until January 2018 were reviewed as a clinical audit.

Results

The most common diagnoses were possible trigeminal autonomic cephalalgia (n = 62, 44%), migraine (n = 38, 27%) and painful post-traumatic trigeminal neuropathy (n = 17, 12%). The most common trigeminal autonomic cephalalgia diagnosis was hemicrania continua (n = 13, 9%), which is higher than the reported prevalence in neurology and headache clinics.

Conclusion

This study demonstrates the importance of a multidisciplinary approach to diagnosing complex orofacial pain patients and the importance of awareness of primary headache disorders, in particular trigeminal autonomic cephalalgias, thereby reducing unnecessary diagnostic delays or procedures.
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Metadata
Title
Trigeminal autonomic cephalalgias presenting in a multidisciplinary tertiary orofacial pain clinic
Authors
D. Y. Wei
D. Moreno-Ajona
T. Renton
P. J. Goadsby
Publication date
01-12-2019
Publisher
Springer Milan
Published in
The Journal of Headache and Pain / Issue 1/2019
Print ISSN: 1129-2369
Electronic ISSN: 1129-2377
DOI
https://doi.org/10.1186/s10194-019-1019-7

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