Hemicrania continua with contralateral cranial autonomic features: a case report

The Journal of Headache and Pain

Case Report

Chaturbhuj Rathore¹  Sanjay Prakash¹  Prayag Makwana¹ 

[1] Department of Neurology, Smt B. K. Shah Medical institute and research Centre Medical College, Piperia, Waghodia, 391760, Vadodara, Gujarat, India;

关键词: Hemicrania continua;    Cluster headache;    Paroxysmal hemicrania;    Trigeminal autonomic cephalagias;    Indomethacin;   

DOI  :  10.1186/s10194-015-0508-6

 received in 2014-12-30, accepted in 2015-02-27,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundHemicrania continua is characterized by continuous strictly unilateral head pain with episodic exacerbations. Episodic exacerbations are associated with ipsilateral cranial autonomic features.Case descriptionWe report a 24-year female with a 2-year history of continuous right-sided headache with superimposed exacerbations. Episodic exacerbations were associated with marked agitation and contralateral cranial autonomic features. The patient showed a complete response to indomethacin within 8 hours.DiscussionThe dichotomy of pain and autonomic features is in accordance with the concept about the possibility of two separate pathways for pain and autonomic features in trigeminal autonomic cephalalgias.

【 授权许可】

CC BY   
© Prakash 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.