International Journal of Clinical Pediatrics, ISSN 1927-1255 print, 1927-1263 online, Open Access
Article copyright, the authors; Journal compilation copyright, Int J Clin Pediatr and Elmer Press Inc
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Case Report

Volume 10, Number 2-3, September 2021, pages 49-52


An Infant With Paroxysms of Screaming and Unilateral Lacrimation and Rhinorrhea

Figure

Figure 1.
Figure 1. (a) Demarcated erythema of left hemiface. (b) Facial grimacing with impression of intense pain.

Table

Table 1. Comparison of Cluster Headache, Paroxysmal Hemicrania, and Short-Lasting Unilateral Neuralgiform Headachea
 
HeadacheCluster headacheParoxysmal hemicraniaShort-lasting unilateral neuralgiform headache
aAdapted from Reference [1]. bThe diagnosis of cluster headache and paroxysmal hemicrania requires at least one of these symptoms and/or a sense of agitation or restlessness. Criteria for the diagnosis of a short-lasting unilateral neuralgiform headache do not require a sense of agitation or restlessness.
Site of painUnilateral orbital, supraorbital and/or temporalOrbital, supraorbital and/or temporalOrbital, supraorbital, temporal and/or trigeminal
Severity of painSevere or very severeSevereModerate or severe
Duration of pain15 - 180 min2 - 30 minOne to 600 s as single stabs, series of stabs, or saw-tooth pattern
Number of attacksAt least fiveAt least 20At least 20
Frequency of painOnce every other day to eight times per dayAt least five times per dayAt least once per day
Ipsilateral cranial autonomic featuresAt least one of the followingb: 1) Conjunctival injection and/or lacrimation; 2) Nasal congestion and/or rhinorrhea; 3) Eyelid edema; 4) Forehead and facial sweating; and 5) Miosis and/or ptosis.