Facial pain in migraine

Facial pain not rare as part of migraine, but rare as stand-alone pain

Nearly 10% of patients with migraine experience facial pain with migraine.

The publication:

Cephalalgia. 2009 Jun 10. [Epub ahead of print]

Prevalence of facial pain in migraine: a population-based study.

Yoon MS, Mueller D, Hansen N, Poitz F, Slomke M, Dommes P, Diener H, Katsarava Z, Obermann M.

Summary of the 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.

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.

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