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Other forms of facial pain of vascular origin may include migraine of the midfacial region sometimes called lower-half migraine. Patients with this form of vascular pain report pain in the jaw and neck pcriorbitally and in the maxilla. There may be tenderness of the carotid artery therefore, this disorder is known as carotidynia (Fay, 1932). As with migraine, this condition predominately affects women. The symptoms are of a dull pain with superimposed throbbing that may occur once or several times weekly. Exacerbations may last minutes to hours. Differential diagnosis includes TMD, pain of the myofascial pain, and masticatory musculature and dental pain.