非典型面痛在临床上少见,尚未被临床神经科医生认识,常被误诊为三叉神经痛等疾病。为了提高对本病的认识,减少误诊,现将我科1998年以来诊治的非典型面痛11例报告如下: 临床资料 11例患者均为神经内科门诊病人,全部为女性,年龄最小17岁,最大48岁,平均33岁。病程最短一个月,最长1年,面痛在左侧者7例,右侧2例,双侧2例。疼痛范围:均为整个面部,以面颊部为主,波及到颞部、下颌,甚至颈部及乳突部。疼痛呈持续酸痛、隐痛,一天中大部分时间都痛。有5例伴有失眠、焦虑、易怒,均无颈部疼痛上肢麻木症状,疼时不伴流泪及流涕症状。8例曾服卡马西平治疗,均无效。体检:三叉神经支配的感觉及运动功能正常。颞颌关节无弹响及压痛,颈总动脉无压痛,颈椎旁及风池穴部位无压痛,牙 Atypical nocturnal relief is clinically uncommon and has not been recognized by clinical neurologists and is often misdiagnosed as trigeminal neuralgia and other diseases. In order to improve the understanding of this disease and reduce the misdiagnosis, we report the following 11 cases of SARS patients diagnosed and treated since 1998: Clinical data All 11 patients were neurology outpatients, all of whom were female and the youngest was 17 years old. Maximum 48 years old, average 33 years old. The shortest course of one month, up to 1 year, 7 cases of left side of the pain in 2 cases, 2 cases in both sides. Pain range: all the face, dominated by the cheek, spread to the temporal, mandibular, and even the neck and mastoid. Pain continued to be sore and painful, pain most of the day. There are 5 cases with insomnia, anxiety, irritability, no neck pain numbness symptoms of upper extremity pain, no pain and runny nose symptoms. 8 cases had taken carbamazepine treatment, are invalid. Physical examination: the trigeminal nerve innervation and motor function is normal. Temporomandibular joint no bombs and tenderness, no common carotid artery tenderness, cervical and Fengchi points no tenderness, teeth