When Treatment Establishes Diagnosis: A Case Report of Posttraumatic Chronic Paroxysmal Hemicrania

2018 ◽  
Vol 58 (6) ◽  
pp. 894-895 ◽  
Author(s):  
Sneha Jacob ◽  
David Watson ◽  
Jack E. Riggs
Cephalalgia ◽  
2004 ◽  
Vol 24 (3) ◽  
pp. 223-227 ◽  
Author(s):  
H Mariano da Silva ◽  
I Benevides-Luz ◽  
AC Santos ◽  
CA Bordini ◽  
L Campaner ◽  
...  

Cephalalgia ◽  
1989 ◽  
Vol 9 (4) ◽  
pp. 281-286 ◽  
Author(s):  
G. Micieli ◽  
A. Cavallini ◽  
F. Facchinetti ◽  
G. Sances ◽  
G. Nappi

Cephalalgia ◽  
1981 ◽  
Vol 1 (2) ◽  
pp. 67-69 ◽  
Author(s):  
Alan M. Rapoport ◽  
Fred D. Sheftell ◽  
Steven M. Baskin

This paper describes the second definite case of chronic paroxysmal hemicrania (CPH) in a male. The patient fits all diagnostic criteria for definite CPH: Daily attacks, maximum daily frequency greater than fifteen attacks and striking improvement from Indomethacin.


Cephalalgia ◽  
1987 ◽  
Vol 7 (3) ◽  
pp. 193-196 ◽  
Author(s):  
Jacques Joubert ◽  
D Powell ◽  
J Djikowski

A 35-year-old black man with a 4-year continuous history of multiple paroxysms of unilateral temporal and ocular pain is reported. Multiple (that is, 15–20) attacks occurred in 24 h. There were no symptom-free periods. Mild exophthalmos, marked sweating, nasal congestion, and lacrimation were present on the affected side. There was no response to ergot preparations, steroids, or lithium but dramatic and sustained relief with indomethacin.


Cephalalgia ◽  
2017 ◽  
Vol 38 (2) ◽  
pp. 389-392 ◽  
Author(s):  
Hyun Ah Choi ◽  
Mi Ji Lee ◽  
Chin-Sang Chung

Background Intraorbital lesions associated with symptomatic trigeminal autonomic cephalalgias (TACs) are rarely reported. We present a case of orbital metastatic leiomyosarcoma, presenting with chronic paroxysmal hemicrania-like headache. Case report A 43-year-old man presented with a severe paroxysmal headache in his left periocular and frontal area for a year. The attacks occurred 10–12 times per day, lasting 10–15 minutes with ipsilateral lacrimation and conjunctival injection. Neurological examination and brain MRI without contrast were unremarkable. Different medications were tried, without beneficial effects. A follow-up contrast-enhanced brain MRI performed one year after the baseline MRI revealed an enhancing mass in the left superior oblique muscle. Orbital metastatic leiomyosarcoma arising from the thigh was revealed. He received gamma knife surgery, which completely resolved the headache. Discussion Intraorbital lesion should be considered a possibility in patients with headache mimicking TACs. Baseline contrast-enhanced MRI is essential, and repeated MRI scans might be needed if clinically indicated.


1978 ◽  
Vol 18 (2) ◽  
pp. 99-100 ◽  
Author(s):  
D. Russell ◽  
B. Christoffersen ◽  
I. Horven

2000 ◽  
Vol 40 (1) ◽  
pp. 54-56 ◽  
Author(s):  
Vincenzo Centonze ◽  
Antonia Bassi ◽  
Vito Causarano ◽  
Lidia Dalfino ◽  
Angelo Centonze ◽  
...  

Cephalalgia ◽  
1987 ◽  
Vol 7 (3) ◽  
pp. 203-205 ◽  
Author(s):  
Ottar Sjaastad ◽  
Fabio Antonaci

In a 38-year-old woman who had had CPH since the middle 1960s and had been successfully treated with indomethacin (dosage usually within the limits of 50–175 mg/day) for approximately 10 years, the requirement for indomethacin was gradually reduced to nought in the spring of 1985. She was then pain-free without indomethacin for almost 11 years. In the late fall of 1986 she had a 3-week exacerbation. In recent months, she again seems to have a slowly increasing, although clearly fluctuating, indomethacin requirement. Long-lasting remissions may thus appear even in the chronic stage. The remission could be a spontaneous one or it could in some way be related to the protracted indomethacin treatment; the authors favour the former possibility. The recurrence of symptoms after a while shows that the attack-generating potential has not been permanently extinguished by indomethacin.


2006 ◽  
Vol 64 (3a) ◽  
pp. 575-577 ◽  
Author(s):  
Yára Dadalti Fragoso

AIM OF THE STUDY: To report a case of unilateral headache with two possibilities of diagnosis. METHOD: Case report. RESULTS: Patient with unilateral, intense, stabbing periocular headache with conjuntival injection and tearing. Although the duration of attacks was typical of SUNCT, there was complete remission of the pain with indomethacin, suggesting that this was a case of chronic paroxysmal hemicrania with unusually short attack duration. CONCLUSION: Therapeutic trials of indomethacin on younger patients presenting clinical diagnosis of SUNCT could be tried on a more regular basis.


Cephalalgia ◽  
2004 ◽  
Vol 24 (7) ◽  
pp. 608-609 ◽  
Author(s):  
D Benzecry de Almeida ◽  
P Afonso Cunali ◽  
H Larocca Santos ◽  
M Brioschi ◽  
M Prandini

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