Chronic paroxysmal hemicrania (CPH) is a rare type of headache
that is characterized by daily, multiple, short-lasting attacks of
severe pain and associated autonomic symptoms. The pain is
strictly unilateral and presents most commonly in the ocular, temporal,
maxillary, and frontal areas. The excruciating, throbbing
pain of CPH can be misdiagnosed as pain associated with dental
pathology, especially when located in the maxillary area.
Moreover, pain manifesting in the maxillary and temporal areas
can be confused with temporomandibular disorders. CPH patients
occasionally seek treatment in dental offices or orofacial pain centers.
Accordingly, dentists should be familiar with CPH in order to
avoid unnecessary, irreversible dental treatment. A case is presented
to highlight many of the features of CPH.
J OROFAC PAIN 2003;17:74–78.