Non-Lateralized Pain in a Case of Chronic Paroxysmal Hemicrania?

Mulder, L. J. M. M.; Spierings, Egilius L.H.

doi:10.1111/j.1468-2982.2004.00635.x

Cited by 13 publications

(10 citation statements)

References 3 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: 78%

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: 78%

Indomethacin-Responsive Headaches

VanderPluym

2014

Curr Neurol Neurosci Rep

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“…Two case reports of short-lasting, frequent, bilateral, indomethacin-responsive headaches without cranial autonomic features have been presented as a bilateral chronic form of PH by two different authors, Pollmann and Mulder and et al (6,7). Bingel and Weiller reported a case with a temporal headache profile highly characteristic of EPH and a significant response to indomethacin.…”

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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“…They consider this to be a bilateral form of paroxysmal hemicrania (PH). We note two other case reports of short‐lasting, frequent, bilateral, indomethacin‐responsive headaches without cranial autonomic features that have been presented as bilateral PH (2, 3). These three case reports pose an interesting question with regard to their classification: do they represent a bilateral form of PH or are they cases of another novel indomethacin‐responsive primary headache syndrome?…”

mentioning

confidence: 88%