What is the role of cerebrovascular disease in the etiology of facial pain and headache?

Updated: Jan 29, 2020
  • Author: Tejas Raval, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Answer

Answer

Headache and facial pain can be a presenting sign of a cerebrovascular disorder including, but not limited to, stroke and transient ischemic attack, intracerebral hemorrhage, subarachnoid hemorrhage, arteriovenous malformation, cerebral venous thrombosis, carotid artery dissection and vertebral artery dissection, and postcarotid endarterectomy headache. [25]

Temporal arteritis is a chronic vasculitis of medium- and large-sized vessels. Headache is the presenting symptom in 72% of patients. [26] The pain is intense, unilateral or bilateral, and is associated with tenderness over the temporal arteries. Diplopia and jaw claudication can occur. Temporal artery biopsy is performed for diagnosis. Treatment consists of oral corticosteroids. [25]


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