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. 2024 Jun 7;16(6):e61898. doi: 10.7759/cureus.61898

Table 4. Specific attributes related to TN compared to other conditions and severe headaches.

Attributes of face pain and headaches [3,15,50-65]

CPH: chronic paroxysmal hemicrania; PHN: postherpetic neuralgia; TMD: temporomandibular disorder; TN: trigeminal neuralgia; SUNA: short-lasting unilateral neuralgiform; SUNCT: short-lasting unilateral neuralgiform headache with conjunctival injection and tearing

Attribute Feature Likely condition(s)
Autonomic symptoms Prominent Cluster headache, SUNCT, CPH
Variable Migraine, TN, PHN (mild if at all)
None Giant cell arteritis, dental pain
Duration of attack Continuous pain over prolonged period PHN, giant cell arteritis, migraine, sometimes dental pain
Minutes only SUNA/SUNCT, cracked tooth, TN
Minutes to 45 minutes CPH
Repeated brief attacks Cluster headache, TN
Persistent, unrelenting TMD
Pain location Unilateral TN, migraine, TMD
Forehead SUNA/SUNCT, CPH, PHN, giant cell arteritis
Retrobulbar TN (unilateral), cluster headache (unilateral) SUNCT, CPH, PHN, giant cell arteritis
Cheek, chin TN, migraine, dental, TMD
Temple Tension-type headache, giant cell arteritis, TMD
Intraoral Dental, TN
Ear TMD
Paroxysmal pain Only paroxysms TN, SUNA/SUNCT
Paroxysms against background of continuous pain Cluster headache, sometimes TN, sometimes dental pain, PHN
Triggers Yes Cluster headache, migraine, TN, dental pain, possibly PHN
No Giant cell arteritis
Other factors Sex Migraine is more common in women, SUNCT is almost exclusively in women, cluster headache is more common among men
History Dental procedures or trauma can precede dental pain; PHN requires a history of shingles
Restlessness, agitation Cluster headache