title: A case of recurrent facial pain associated with a Pourfour du Petit syndrome: a new entity?
abstract: We report the case of a 38-year-old woman with a history of migraine who experienced an association of recurrent unilateral facial pain and Pourfour du Petit syndrome. The episodes occurred for between a few seconds and up to 3 minutes up to 6 times a day mimicking short-lasting unilateral neuralgiform headaches with cranial autonomic symptoms. No lesional cause was found and the use of topiramate led to a nearly complete disappearance of the episodes. This new entity raises the question of a novel autonomic dysfunction in short-lasting unilateral neuralgiform headaches with cranial autonomic symptoms or an unexpected presentation of migraine.
authors.affiliation: Department of Neurology, Hôpital Universitaire de Strasbourg, Strasbourg, France.
authors.forename: Nicolas
authors.initials: N
authors.lastname: Collongues
authors.forename: Pascale
authors.initials: P
authors.lastname: Labouret
authors.forename: Claude
authors.initials: C
authors.lastname: Speeg
authors.forename: Jérôme
authors.initials: J
authors.lastname: de Seze
mesh_terms: D000328:Adult; D001341:Autonomic Nervous System / Q000503:physiopathology; D005157:Facial Pain / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D006801:Humans; D015878:Mydriasis / Q000150:complications* / Q000175:diagnosis; D010167:Pallor / Q000150:complications* / Q000175:diagnosis; D012008:Recurrence; D013546:Sweating / Q000502:physiology; D013577:Syndrome
keywords: Claude Bernard-Horner syndrome; Pourfour du Petit; facial pain; paroxystic mydriasis