Postoperative hemicrania continua-like headache - a case series

The Journal of Headache and Pain

Short Report

Peter J Goadsby¹  Andreas R Gantenbein²  Franz Riederer³  Hakan Sarikaya⁴ 

[1] NIHR-Wellcome Trust Clinical Research Facility, King’s College London, UK and Headache Group-Department of Neurology, University of California, San Francisco, CA, USA;Neurorehabilitation, RehaClinic Bad Zurzach, Bad Zurzach, Switzerland;University of Zurich, Zurich, Switzerland;University of Zurich, Zurich, Switzerland;Karl Landsteiner Institute for Clinical Epilepsy Research and Cognitive Neurology, Neurological Center Rosenhuegel, Vienna, Austria;University of Zurich, Zurich, Switzerland;Neurological Practice, Reinach and Department of Neurology, University Hospital Inselspital, Bern, Switzerland;

关键词: Hemicrania contiuna;    Neurosurgery;    Craniotomy;    Postoperative;    Indomethacin;    TAC;   

DOI  :  10.1186/s10194-015-0526-4

 received in 2014-12-18, accepted in 2015-04-26,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundHemicrania continua (HC) is a rare chronic headache disorder, typically accompanied by cranial autonomic features and responding to therapeutic doses of indomethacin. The pathophysiology of hemicrania continua is not fully understood.FindingsWe report a series of three patients who developed a continuous hemicranial headache after cranial surgery. Each case presented a similar phenotype of continuous half-sided headache, cranial autonomic symptoms with exacerbations (2/3), and a response to indomethacin.ConclusionThe biology of hemicrania continua may be activated post-craniotomy just as can be seen with other primary headache disorders.

【 授权许可】

CC BY   
© Gantenbein et al.; licensee Springer. 2015. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.