title: Prevalence of facial pain in migraine: a population-based study.
abstract: Unilateral head pain focused on frontal, orbital or parietal regions is a leading symptom of migraine attacks. Rarely, head pain in migraine can extend involving the maxillary or mandibular region of the face, sometimes isolated facial pain is the only and atypical presentation of migraine. The prevalence of these unusual symptoms in migraine is unknown. We aimed to estimate the true prevalence of facial pain in migraine in a population-based sample of 517 migraine patients in Germany. In 46 (8.9%) cases migraine pain involved the head and the lower half of the face. Patients with facial pain suffer more trigemino-autonomic symptoms than migraine patients (47.8% vs. 7.9%; alpha(2) = 66.23, P < 0.001). In one case isolated facial pain without headache was the leading symptom of migraine. Our results demonstrate that facial pain is not unusual in migraine, whereas isolated facial migraine is extremely rare.
authors.affiliation: Department of Neurology, University of Duisburg-Essen, Essen, Germany. min-suk.yoon@uni-due.de
authors.forename: M-S
authors.initials: MS
authors.lastname: Yoon
authors.forename: D
authors.initials: D
authors.lastname: Mueller
authors.forename: N
authors.initials: N
authors.lastname: Hansen
authors.forename: F
authors.initials: F
authors.lastname: Poitz
authors.forename: M
authors.initials: M
authors.lastname: Slomke
authors.forename: P
authors.initials: P
authors.lastname: Dommes
authors.forename: H C
authors.initials: HC
authors.lastname: Diener
authors.forename: Z
authors.initials: Z
authors.lastname: Katsarava
authors.forename: M
authors.initials: M
authors.lastname: Obermann
mesh_terms: D000328:Adult; D001341:Autonomic Nervous System / Q000503:physiopathology; D005152:Facial Muscles / Q000294:innervation / Q000503:physiopathology; D005157:Facial Pain / Q000453:epidemiology*; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D007568:Jaw / Q000294:innervation; D008297:Male; D008875:Middle Aged; D008881:Migraine Disorders / Q000453:epidemiology*; D009055:Mouth / Q000294:innervation; D009915:Orbit / Q000294:innervation; D015995:Prevalence; D011795:Surveys and Questionnaires; D014276:Trigeminal Nerve / Q000503:physiopathology