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Algie vasculaire de la face: épidémiologie et clinique

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Résumé

L'algie vasculaire de la face, céphalée caractérisée par la sévérité de ses accès, est, en dépit de cette sévérité, mal connue en terme de physiopathologie. Le retard diagnostique est fréquent. Sa prévalence est pourtant de 1 pour 1000, ce qui en fait une affection aussi fréquente que la sclérose en plaques. Sa prise en charge médicamenteuse est mal codifiée. Or, il existe actuellement des traitements de crise (sumatriptan par voie sous-cutanée et oxygène) et des traitements de fond (verapamil, lithium) potentiellement efficaces qui rendent nécessaires le diagnostic de cette affection dans ses formes typiques ou moins typiques, permettant ainsi aux patients d'avoir accès dans des délais acceptables à ces traitements spécifiques.

Summary

Cluster headache is one of the most painful headache, but one of the most unknown and undiagnosed too. The physiopathology is complex. Although cluster headache is rare compared to the other primary headache disorders, the prevalence is about one per 1000. We have now efficient acute treatments (subcutaneous sumatriptan and oxygen) and prophylactic treatments (verapamil and lithium), so we have to recognize the typical and non typical forms of the disease.

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Correspondence to V. Dousset.

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Dousset, V., Brochet, B. & Henry, P. Algie vasculaire de la face: épidémiologie et clinique. Doul. et Analg. 16, 209–212 (2003). https://doi.org/10.1007/BF03014222

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Mots-clés

  • Algie vasculaire de la face
  • épidémiologie
  • clinique
  • qualité de vie

Key-words

  • Cluster headache
  • epidemiology
  • clinic
  • quality of life