Chronic paroxysmal hemicrania, episodic cluster headache and classic migraine in one patient.

Pearce, Simon H. S.; Cox, Jennifer; Pearce, Jms

doi:10.1136/jnnp.50.12.1699

Cited by 22 publications

(19 citation statements)

References 6 publications

(2 reference statements)

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“…They include four headache disorders, cluster headache (CH), paroxysmal hemicrania (PH), SUNCT syndrome and hemicrania continua (HC). The coexistence of different ipsilateral TACs in the same patient has been previously reported in six published cases (2–6). In five of these patients an association of CH and PH was noted (2–5).…”

supporting

confidence: 56%

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Hemicrania Continua with Contralateral Episodic Cluster Headache: A Case Report

Lisotto¹,

Mainardi

Maggioni

et al. 2003

Cephalalgia

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The trigeminal autonomic cephalgias (TACs) are characterized by short-lasting unilateral headaches with autonomic features (1). They include four headache disorders, cluster headache (CH), paroxysmal hemicrania (PH), SUNCT syndrome and hemicrania continua (HC). The coexistence of different ipsilateral TACs in the same patient has been previously reported in six published cases (2-6). In five of these patients an association of CH and PH was noted (2-5). The two varieties of attacks occurred separately in three patients, while their simultaneous occurrence was observed in two cases. In another patient the successive occurrence of trigeminal neuralgia, SUNCT syndrome, PH and CH in one active headache period was noted (6). All the reported cases concerned male patients. We describe what we believe to be the first case of coexistence of two different contralateral TACs.

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supporting

confidence: 56%

“…The coexistence of different ipsilateral TACs in the same patient has been previously reported in six published cases (2–6). In five of these patients an association of CH and PH was noted (2–5). The two varieties of attacks occurred separately in three patients, while their simultaneous occurrence was observed in two cases.…”

supporting

confidence: 56%

Hemicrania Continua with Contralateral Episodic Cluster Headache: A Case Report

Lisotto¹,

Mainardi

Maggioni

et al. 2003

Cephalalgia

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“…The coexistence of cluster headache (CH) and chronic paroxysmal hemicrania (CPH) in the same patient has been previously reported in four published cases. 1–3 The two varieties of headache occurred in different periods in three of the four patients, whereas their simultaneous occurrence was reported in one patient. Here, we report the case of a patient with concomitant attacks of CH and ipsilateral CPH in the same period.…”

mentioning

confidence: 92%

Simultaneous Occurrence of Ipsilateral Cluster Headache and Chronic Paroxysmal Hemicrania: A Case Report

et al. 2000

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A 42-year-old man came to our headache unit in October 1995 complaining of recurrent attacks of headache, which had begun in February 1991. Chronic cluster headache was diagnosed, and he was given verapamil, 360 mg per day. The attacks ceased in the following months and verapamil was stopped in March 1996. In May 1997, a recurrence of the attacks required the readministration of verapamil, 360 mg per day. The attacks decreased (one to three per week), but after 2 months the patient reported a worsening in his condition due to the appearance of shorter attacks, which were diagnosed as chronic paroxysmal hemicrania. The administration of indomethacin, 225 mg per day, resulted in the disappearance of the short attacks.The concomitant occurrence of attacks of cluster headache and chronic paroxysmal hemicrania suggests the presence of shared factors in the pathophysiology of the two forms of headache. This hypothesis is supported by previous reports in the literature. Key words: chronic cluster headache, chronic paroxysmal hemicrania, verapamil, indomethacinAbbreviations: CH cluster headache, CPH chronic paroxysmal hemicrania ( Headache 2000;40:54-56) The coexistence of cluster headache (CH) and chronic paroxysmal hemicrania (CPH) in the same patient has been previously reported in four published cases. 1-3 The two varieties of headache occurred in different periods in three of the four patients, whereas their simultaneous occurrence was reported in one patient. Here, we report the case of a patient with concomitant attacks of CH and ipsilateral CPH in the same period. Our experience adds data to support the likelihood of the concomitant presence of attacks of CH and ipsilateral CPH. CASE REPORTA 42-year-old policeman, who was married with three children, came to our Headache Unit in October 1995 complaining of recurrent attacks of headache. These attacks had started suddenly and without any particular reason for the first time in February 1991, when he was 37 years old. He had two to three attacks per day, each lasting 30 minutes to 2 hours; the timetable was unpredictable, although the most critical times were after lunch and during the night. The pain was extremely severe and located around the left temple, eye, and forehead, without radiation. The pain was throbbing and was associated with ipsilateral lacrimation and conjunctival injection, ptosis, rhinorrhea, photophobia, and phonophobia. The patient did not report a family history of headache. He smoked 20 cigarettes per day and drank four to five cups of coffee per day, but no alcoholic beverages. He weighed 87 kg and was 188 cm in height.The results of routine blood tests, an EEG, skull x-ray, and a cranial CT scan were normal. Nonsteroidal anti-inflammatory drugs, decreasing dosages of cortisone, lithium salts, and amitriptyline gave almost no benefit, whereas since 1994 he had been responsive to sumatriptan, 6 mg subcutaneous (SQ), for the treatment of the attacks.

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“…In this context, it is interesting to note that published case reports of coexistent migraine with aura and CPH do not allude to the presence of aura in association with CPH. 7,8 An interesting facet of this case report is that the headache occurred less than 14 days after the head injury, and had continued for more than 8 weeks after the injury, thus satisfying the IHS classification criteria for chronic post-traumatic headache. 2 Again post-traumatic CPH must be very uncommon.…”

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confidence: 99%

Crowned dens syndrome in an elderly man

Mula¹,

Bordin²,

Naldi³

et al. 2001

Neurology

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Article abstract-The authors describe a patient who developed chronic paroxysmal hemicrania (CPH) in close temporal relationship to a head injury. The subsequent attacks of CPH were associated with a typical migrainous sensory and motor aura. Administration of indomethacin 75 mg daily resulted in isolated occurrence of autonomic and aura symptoms in the absence of pain symptoms. The patient became completely asymptomatic on indomethacin 100 mg daily. Migrainous aura may be seen with trigeminal-autonomic headaches and may represent the expression of an aura-susceptibility gene rather than typical migraine headache biology.

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Chronic paroxysmal hemicrania, episodic cluster headache and classic migraine in one patient.

Cited by 22 publications

References 6 publications

Hemicrania Continua with Contralateral Episodic Cluster Headache: A Case Report

Hemicrania Continua with Contralateral Episodic Cluster Headache: A Case Report

Simultaneous Occurrence of Ipsilateral Cluster Headache and Chronic Paroxysmal Hemicrania: A Case Report

Crowned dens syndrome in an elderly man

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