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Discusses short-lasting unilateral neuralgiform headache that attacks with conjunctival injection and tearing. Description of the head ache as unilateral orbital, supraorbital or temporal or pulsating pain lasting 5–240 s; Background on the pain that is accompanied by ipsilateral conjunctival injection and lacrimation; Occurrence of attacks with a frequency from 3 to 200 per day; Clinical features such as attack duration, pain profile as well as the precipitating mechanisms, that are suggestive of a link with first division trigeminal neuralgia; View of the disease from a nosological perspective; Autonomic features occurring just above a certain pain threshold.

SUMMARYA 48-year-old white woman presented with a 2-year history of progressive facial hemiatrophy involving the right side of the chin and tongue, associated with mastigatory spasm. Neurological examination showed no abnormalities. Computed tomography and magnetic resonance imaging of the brain and electrophysiological investigations were normal. Histopathological examination of a skin biopsy specimen from the chin revealed atrophy of the subcutaneous fat with homogenization of dermal collagen fibres. Phenytoin 100 mg t.d.s. relieved the mastigatory spasm. [ABSTRACT FROM AUTHOR]

Subclavian steal syndrome (SSS) is a clinical entity characterized by brachial and basilar insufficiency as a result of critical proximal subclavian artery stenosis or occlusion. We report a patient of giant hypervascular thyroid nodule presenting with features of SSS. The left hand ischemia and symptoms of vertebro-basilar artery in our patient were probably related to stealing of blood by the hypervascular thyroid nodule from the subclavian artery. The patient was relieved of the symptoms upon percutaneous subclavian stent placement. [ABSTRACT FROM AUTHOR]