UNASSIGNED: The association of @entity19424 with @entity4254 ( @entity4254 ) has been described and called @entity1775 ( @entity1775 ). We report the case of a @entity1 diagnosed as having chronic @entity1775 (CPH-tic) syndrome as a clinically isolated @entity6220 (CNS) (CIS).A forty year old @entity1 was admitted to our hospital suffering from right facial @entity158 for the last 2 years. The attacks were paroxysmal, neuralgiform, consisting of throb-like sensations, which developed spontaneously or were triggered by different stimuli in right facial (maxilar and mandibular) areas. Parallel with those, she felt a throbbing orbital and frontal @entity158 with homolateral autonomic symptoms such as conjunctival injection, lacrimation, and the feeling that the ear on the same side was full. This @entity158 lasted most often between 15 and 20 minutes. Beyond @entity1183 in the region of right maxilar and mandibular nerve, the other neurological finding was normal. Magnetic resonance imaging (MRI) study showed a T2-weighted multiple hyperintense @entity75 and hyperintense lesion in the right trigeminal main sensory nucleus and root inlet, all of them being hypointense on T1-weighted image. All of these lesions were hypointense in @entity2287 -enhanced T1-weighted images. Neurophysiological studies of trigeminal nerve (somatosensory evoked potentials and blink reflex) correlated with MRI described lesions. The @entity1 's @entity158 bouts were improved immediately after treatment with @entity3352 , and were completely relieved with @entity2812 for a longer period. According to the actual McDonald's criteria, clinical state was defined as CIS which was clinically presented by @entity69114 .Even though it is a clinical rarity and its etiology is usually idiopathic, @entity69114 can also be symptomatic. When dealing with symptomatic cases, like the one described here, when causal therapy is not possible due to the nature of the primary pathological process, a therapeutic approach, although symptomatic, can be fully effective in controlling this @entity158 . The case report could be a contribution to the pathophysiological and clinical understanding of the association of CPH and @entity4254 : @entity19424 , @entity4254 , @entity922 .

The Rare Painful XXXX as a Clinically Isolated Syndrome of the Central Nervous System.

@entity1 :: ('9606', 'Species') :: ['woman', 'patient'] @entity6220 :: ('MESH:D020279', 'Disease') :: ['syndrome of the central nervous system'] @entity1775 :: ('MESH:D020323', 'Disease') :: ['paroxysmal hemicrania-tic syndrome', 'PH-tic'] @entity1183 :: ('MESH:D006987', 'Disease') :: ['hemifacial hypoesthesia'] @entity75 :: ('MESH:D001927', 'Disease') :: ['paraventricular lesion'] @entity4254 :: ('MESH:D014277', 'Disease') :: ['TN.Key words', 'TN', 'trigeminal neuralgia'] @entity19424 :: ('MESH:D051302', 'Disease') :: ['Paroxysmal hemicrania', 'paroxysmal hemicrania'] @entity158 :: ('MESH:D010146', 'Disease') :: ['painful syndrome', 'pain'] @entity69114 :: ('MESH:C563241', 'Disease') :: ['CPH-tic syndrome'] @entity3352 :: ('MESH:D007213', 'Chemical') :: ['indomethacin'] @entity2287 :: ('MESH:D005682', 'Chemical') :: ['gadolinium'] @entity2812 :: ('MESH:C047781', 'Chemical') :: ['lamotrigine'] @entity922 :: ('MESH:D013568', 'Disease') :: ['clinically isolated syndrome']
@entity19424 :: (MESH:D051302,Disease) :: ['Phenomena - Chronic Paroxysmal Hemicrania-tic Syndrome']
