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Carotidynia: a cause of neck and face pain

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vasoconstriction in SA and TA. In migraineurs the response varied. Brady- cardia resulted in most subjects except in unimproved migraineurs. Heat induced band vasodilation led to dilation in SA and TA and to tachycardia. In those 8 migraineurs who improved clinically the finger temperature feed- back training apparently did not result in conditioning of a single autonomic response (i.e. digital vasodilation), but in a general decrease of the sympa- thetic tonic outflow.

Cardiac pain referred to site of previously experienced somatic pain. -- J.A. Henry and E. Montuschi, Brit. reed. J., 4 (1978) 1605--1606

The authors note that the pain of angina may be felt in the same distri- bution as pain from cervical spondylosis or from the teeth. They relate here 3 cases of cardiac pain atypically referred to a site of previous pain in the chest or upper limbs. In one instance, a man with a myocardial infarct experienced pain over the dorsal region where he had an old compression fracture of T4. A second case was of a patient who had a recurrence of appar- ently post-herpetic neuralgic lJain in the T4 dermatome on the left side. In the third instance, a man who had a disc lesion at C4--5 and a history of pain in both arms, experienced a recurrence of the pain in both arms and without chest pain in the presence of a myocardial infarction. The findings are briefly discussed in terms of the notion of facilitation.

Carotidynia: a cause of neck and face pain. -- T.J. Murray, Canad. med. Ass. J., 120 (1979) 441--443

The author describes a rare vascular syndrome causing pain in the neck and face and considers it to be probably a variant of migraine. He describes 11 cases seen since 1970. The patients presented with face and neck pain and, in most instances, had been referred for the management of trigeminal neuralgia. He recommends similar treatments to those for migraine especially pizotyline of propranolol, methysergide or ergot. There is a useful short list of references to other descriptions of similar cases and their treatment.


The relationship of cognitive styles and affective status to postoperative analgesic u t i l iza t ion. - T.N. Wise, W.A. Hall and O. Wong, J. psychosom. Res., 22 (1978) 513--518

The relationship of postoperative analgesic utilization to field dependence, locus of control and psychologic status was studied in 37 post-cholecystec- tomy patients. The results show a positive correlation between psychological disturbance and increased medication. External locus and field dependence were also correlated with depression, but not more medication. The findings reject a linear relationship between these two personality variables and pain response, but suggest an interaction beween cognitive styles and affective status that augments narcotic utilization.