Trigeminal Neuralgic-Type Pain and Vascular-Type Headache Due to Gustatory Stimulus
Version of Record online: 4 JUN 2003
Headache: The Journal of Head and Face Pain
Volume 38, Issue 2, pages 129–131, February 1998
How to Cite
Helcer, M., Schnarch, A., Benoliel, R. and Sharav, Y. (1998), Trigeminal Neuralgic-Type Pain and Vascular-Type Headache Due to Gustatory Stimulus. Headache: The Journal of Head and Face Pain, 38: 129–131. doi: 10.1046/j.1526-4610.1998.3802129.x
- Issue online: 4 JUN 2003
- Version of Record online: 4 JUN 2003
- Accepted for publication May 1, 1997.
- Cited By
- facial pain;
- gustatory pain;
- trigeminal neuralgia;
- vascular headache
We present a case of facial pain associated with sweet stimulus. An immediate, electriclike, short, unilateral pain was evoked by strong sweet gustatory stimulation. This was followed 6 to 8 hours later by a bilateral severe headache associated with bilateral tearing, rhinorrhea, periorbital swelling, flushing, and photophobia that lasted up to 2 days. The immediate pain that was experimentally induced with 2.5 grams of sucrose placed on the tongue could be abolished with carbamazepine. However, carbamazepine did not prevent the headache complex that appeared 6 to 8 hours later. Conversely, a trial with indomethacin abolished the late-onset headache, but not the immediate neuralgic-type pain. The independent nature of these pains suggests different pathophysiological mechanisms which are discussed.