Trigeminal autonomic cephalalgia by neurogenic palatine compression: A clinical report and review

Luis Miguel Ramirez, Luis Ernesto Ballesteros, Germán Pablo Sandoval

Research output: Articles / NotesScientific Articlepeer-review


This clinical report presents the evolution of a possible intraoral traumatic trigeminal autonomic cephalalgia simulating a probable cluster headache. A 50-year-old female patient had severe right-hand side pain for 7 years with autonomic signs and symptoms, such as lacrimation, conjunctival injection, rhinorrhoea, nasal congestion, forehead perspiration, myosis and eyelid edema. The episodes of pain lasted 4 or 5 months with 3- or 4-month remission periods between the painful onsets. The headaches presented an episodic pattern (1 to 3 attacks daily) lasting three to six hours. The patient had used five prosthetic sets continuously (24 h) for 20 years and the current prosthesis was 7 years old. Accidentally, after the alleviation of the maxillary denture due to it rested on a marked irritated incisive papilla the symptoms disappear. The patient has been periodically checked over a 5 year period since, without recurrence of her pain and autonomic symptomatology. The possible pathophysiology is discussed.

Original languageEnglish
Pages (from-to)591-596
Number of pages6
JournalInternational Journal of Morphology
Issue number3
StatePublished - Sep 2007
Externally publishedYes


  • Incisive papilla
  • Neurovascular pain
  • Referred pain
  • Sphenopalatine ganglion
  • Temporomandibular disorders


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