Varr Miranda, A.; Talavera De la Esperanza, B.; Mart ez P s, E.; Trigo

Varr Miranda, A.; Talavera De la Esperanza, B.; Mart ez P s, E.; Trigo L ez, J.; G ez L ez de San Rom , C.; Ruiz Pi ro, M.; Pedraza Hueso, M.I.; Guerrero Peral, L.; Garc Azor , D The Journal of Headache and Pain 2017, 18(Suppl 1):POBJECTIVE: The first trigeminal nerve branch is divided in three main branches: lacrimal nerve (LN), frontal nerve, which divides into supraorbital (SON) and supratrochlear nerves and nasociliar nerve. We describe the case of a patient diagnosed of supraorbital nerve neuralgia who created an ipsilateral lacrimal neuralgia. PATIENT AND Solutions: 47-year-old lady with prior healthcare history of Crohn disease treated with Adalimumab and Azatioprine. She complained about a oppressive continuous pain, of 510 intensity in accordance with Analogic Visual Scale circumscribed to the left supraciliar region, with 2-3 seconds length superimposed paroxysms of 810 intensity. Within the physical examination we detected tenderness in the palpation of your supraorbital notch. She was treated by anesthetic lidocaine blockade successfully and was managed during six years with blockades each 3-10 months. Final results: Within a normal seek advice from she complained of a new oppressive Captan MedChemExpress discomfort of 610 intensity inside the left superoexternal periorbital region, with three seconds stabbing paroxisms of 810 intensity. In the exam she presented pain at the palpation of lacrimal nerve and circumscribed hypoesthesia within the lacrimal nerve territory. We only performed SON blockade initially but the superoexternal discomfort persisted, so we performed a certain lacrimal nerve blockade with pain cessation, confirming the diagnosis of Lacrimal Neuralgia. A facial, orbital and cranial CT didn’t show any abnormality. CONCLUSSION: Sequential presentation of pain in contiguous nervous branches in the absence of structural lesions supports the epicranial nature with the trigeminal terminal branches neuralgias. Consent for publication: The authors declare that written informed consent was obtained for publication. P8 Cognitive impairment in episodic and chronic migraineurs and tension-type headache suffers A. Bianchi, R. Monastero, M. Dav F. Brighina, C. Camarda Division of Experimental Biomedicine and Clinical Neurosciences, University of Palermo, Italy Correspondence: A. Bianchi ([email protected]) The Journal of Headache and Discomfort 2017, 18(Suppl 1):P8 Background. Migraine and tension-type headache are highly prevalent brain disorders characterized by recurrent painful attacks that bring about a very disabling condition, especially when chronic. Headache suffers regularly reported cognitive deficits, nonetheless previously information relating to cognitive impairment are inconclusive. The aim of this hospital-based study was to compare cognitive overall performance in subjects impacted by distinct headache varieties including: migraine without aura (MWA), chronic migraine (CM), tension kind headache (TTH) and chronic tension form headache (CTTH). Materials and methods. We studied 307 individuals, 246 woman and 61 male consecutively referred towards the Adult Headache Centre, Neurological Unit in the University of Palermo through a 2-year period. Headache diagnoses were established according to the ICHD-III criteria. Each and every patient carried out a complete neuropsychological evaluation such as: MiniMental State Examination (MMSE), Rey Auditory Verbal Finding out Test (episodic memory), Token Test (verbal comprehension), Frontal Assessment Battery (executive functioning), and Visual Search (2-Undecanol web selective interest).