{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T13:51:07Z","timestamp":1769521867589,"version":"3.49.0"},"reference-count":23,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2014,12,23]],"date-time":"2014-12-23T00:00:00Z","timestamp":1419292800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Headache"],"published-print":{"date-parts":[[2015,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Epicrania fugax (\n                      <jats:styled-content style=\"fixed-case\">EF<\/jats:styled-content>\n                      ) is characterized by painful paroxysms starting in a particular area of the head, and rapidly radiating forwards or backwards through the territories of different nerves. In former clinical descriptions, the pain moved between the posterior scalp (\n                      <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>\n                      2) and the frontal or periorbital area (\n                      <jats:styled-content style=\"fixed-case\">V<\/jats:styled-content>\n                      1), either in forward or backward direction.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We report 5 patients with a paroxysmal EF\u2010type pain starting in the lower face (V2 or V3) and radiating upwards.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In each patient, the pain stemmed from the cheek (n\u2009=\u20091), the upper lip (n\u2009=\u20092) or the chin and mandibular area (n\u2009=\u20092), and then moved up to the forehead or the scalp with linear trajectory. Pain intensity was moderate (n\u2009=\u20091) or severe (n\u2009=\u20094), and pain quality was stabbing (n\u2009=\u20092) or electric (n\u2009=\u20093). The duration of attacks was very brief, lasting 1 to a few seconds. Three patients had ocular or nasal autonomic accompaniments, and 3 had triggers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      There seems to be a facial variant of\n                      <jats:styled-content style=\"fixed-case\">EF<\/jats:styled-content>\n                      . These observations could not only expand the clinical spectrum of\n                      <jats:styled-content style=\"fixed-case\">EF<\/jats:styled-content>\n                      but also enlarge the differential diagnosis of facial pain.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/head.12492","type":"journal-article","created":{"date-parts":[[2014,12,23]],"date-time":"2014-12-23T06:59:39Z","timestamp":1419317979000},"page":"690-695","source":"Crossref","is-referenced-by-count":12,"title":["Facial Pain Radiating Upwards: Could the Pain of Epicrania Fugax Start in the Lower Face?"],"prefix":"10.1111","volume":"55","author":[{"given":"Mar\u00eda\u2010Luz","family":"Cuadrado","sequence":"first","affiliation":[{"name":"Department of Neurology Hospital Cl\u00ednico San Carlos  Madrid Spain"},{"name":"Department of Medicine Universidad Complutense  Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c1ngel","family":"Aledo\u2010Serrano","sequence":"additional","affiliation":[{"name":"Department of Neurology Hospital Cl\u00ednico San Carlos  Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justino","family":"Jim\u00e9nez\u2010Almonacid","sequence":"additional","affiliation":[{"name":"Department of Neurology Hospital Cl\u00ednico San Carlos  Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mercedes","family":"de Lera","sequence":"additional","affiliation":[{"name":"Department of Neurology Hospital Cl\u00ednico Universitario de Valladolid  Valladolid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c1ngel L.","family":"Guerrero","sequence":"additional","affiliation":[{"name":"Department of Neurology Hospital Cl\u00ednico Universitario de Valladolid  Valladolid 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