6th MENA Meeting 4th Turkish African Meeting of Headache and Pain Management, Antalya, Türkiye, 2 - 05 Kasım 2022
Background: Evidence of impaired somatosensory temporal discrimination in migraine attacks is recently
provided. In contrast, tension type headache attacks are associated with intact somatosensory temporal
discrimination. No studies have yet investigated somatosensory temporal discrimination in patients with
trigeminal autonomic cephalalgias TAC).
Aim: In this preliminary study, it was aimed to investigate somatosensory temporal discrimination
thresholds in patients with trigeminal autonomic cephalalgias.
Method: Somatosensory temporal discrimination threshold values were evaluated from both hands (C7
dermatome) in 6 patients with trigeminal autonomic cephalalgias (four hemicrania continua and two cluster
headache patients) and 6 healthy controls. p < 0.05 was considered statistically significant.
Results: Somatosensory temporal discrimination thresholds of patients with trigeminal autonomic
cephalalgias (39.6 ± 4.4 ms for the right hand and 41.3 ± 4.03 ms for the left hand) were comparable (p =
0.74) to those of healthy volunteers (39.4 ± 5.0 ms for the right hand and 39.8 ± 6.0 ms for the left hand).
Conclusion: Central processing of temporal discrimination of somatosensory stimuli remained intact in
cluster headache and hemicrania continua patients. Somatosensory temporal discrimination test stands out
as an attractive diagnostic tool for differentiating migraine from other primary headache disorders.