Bilateral Paroxysmal Hemicrania with Autonomic Symptoms: The First Case Report

Evans, Randolph W.

doi:10.1111/j.1468-2982.2007.01445.x

Cited by 13 publications

(12 citation statements)

References 6 publications

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“…The pain is most common in the orbital or temporal regions and may spread to the occiput, neck, shoulder, maxilla, periauricular region, and oral cavity. Pain is usually unilateral but has been reported to alternate sides (3-15 %) [11,15] or, more rarely, occur bilaterally [15][16][17][18][19][20]. Of note, cranial autonomic features are not seen in most of the reported bilateral cases.…”

Section: Paroxysmal Hemicraniamentioning

confidence: 77%

Indomethacin-Responsive Headaches

VanderPluym

2014

Curr Neurol Neurosci Rep

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Indomethacin-responsive headaches are a heterogeneous group of primary headache disorders distinguished by their swift and often absolute response to indomethacin. The epidemiology of these conditions is incompletely defined. Traditionally, indomethacin-responsive headaches include a subset of trigeminal autonomic cephalalgias (paroxysmal hemicrania and hemicrania continua), Valsalva-induced headaches (cough headache, exercise headache, and sex headache), primary stabbing headache, and hypnic headache. These headache syndromes differ in extent of response to indomethacin, clinical features, and differential diagnoses. Neuroimaging is recommended to investigate for various organic causes that may mimic these headaches. Case reports of other primary headache disorders that also respond to indomethacin, such as cluster headache, nummular headache, and ophthalmoplegic migraine, have been described. These "novel" indomethacin-responsive headaches beg the question of what headache characteristics are required to qualify a headache as an indomethacin-responsive headache. Furthermore, they challenge the concept of using a therapeutic intervention as a diagnostic criterion.

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Section: Paroxysmal Hemicraniamentioning

confidence: 77%

Indomethacin-Responsive Headaches

VanderPluym

2014

Curr Neurol Neurosci Rep

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“…However, the literature contains five cases of PH that indicate bilateral headaches responding to indomethacin (1,(3)(4)(5), and only one of these cases included cranial autonomic features (4).…”

Section: Discussionmentioning

confidence: 99%

Episodic paroxysmal hemicrania with an atypical clinical presentation: a case report and review of the literature

Kaplan¹,

Kamışlı²,

Altınayar³

2015

tnd

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“…There are four case reports of short-lasting, frequent, bilateral, indomethacin-responsive headaches that have been presented as bilateral PH [2][3][4][5] . Three cases differ from PH in lacking unilaterality and being without cranial …”

Section: Discussionmentioning

confidence: 99%

“…Three cases had headaches without autonomic features [2][3][4] . The last was the first case of PH with autonomic symptoms 5) . I report a 10-year-old female with bilateral PH with autonomic symptoms, which was diagnosed because of the typical symptoms along with a favorable response to indomethacin therapy.…”

Section: Introductionmentioning

confidence: 99%

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Bilateral paroxysmal hemicrania with autonomic features in a child: A case report

Rho

2009

Korean J Pediatr

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=Ab s t r a c t = Paroxysmal hemicrania (PH) is rare in children and not widely recognized. It is characterized by pain attacks and associated symptoms and signs similar to those experiencing cluster headaches, but the features have a shorter effect, are more frequent, and respond completely to indomethacin. Some patients with PH may experience slight pain across the midline. There are only four cases of bilateral PH in the literature and it is very rare in children. Here, I report the case of a 10-year-old female with bilateral PH diagnosed by the typical symptoms along with the favorable response to indomethacin therapy. . I report a 10-year-old female with bilateral PH with autonomic symptoms, which was diagnosed because of the typical symptoms along with a favorable response to indomethacin therapy. She had a 3-year history of remitting headaches. The attacks had a throbbing quality and were associated with nausea, vomiting, osmophobia and lightheadedness. The frequency was once or two per week, the duration was about five minutes, the severity was moderate. The patien was taking over-the-counter analgesics intermittently.Sometimes there were not helpful. She had not been previously evaluated by a physician. Family history showed that her father, grandfather and an aunt suffered from migraine. Before coming to our center she was treated with antibiotics and analgesic for maxillary sinusitis and headache at the secondary hospital for 2 weeks, but there were no effect.

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Bilateral Paroxysmal Hemicrania with Autonomic Symptoms: The First Case Report

Cited by 13 publications

References 6 publications

Indomethacin-Responsive Headaches

Indomethacin-Responsive Headaches

Episodic paroxysmal hemicrania with an atypical clinical presentation: a case report and review of the literature

Bilateral paroxysmal hemicrania with autonomic features in a child: A case report

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