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Chronic Paroxysmal Hemicrania

Presentation

28158167 ) Ljubisavljevic S...Vojinovic S 2017 7 Occipital Nerve Stimulation for Medically Refractory Chronic Paroxysmal Hemicrania. ( 28980700 ) Miller S...Matharu M 2017 8 Indomethacin-Responsive Paroxysmal Hemicrania in an Elderly Man: An Unusual Presentation [malacards.org]

N Engl J Med 354(2):158–165 PubMed CrossRef CAS Google Scholar Sobri M, Lamont AC, Alias NA, Win MN (2003) Red flags in patients presenting with headache: clinical indications for neuroimaging. [link.springer.com]

Psychiatrical

  • Suggestibility

    This report further suggests that patients with paroxysmal hemicrania should be investigated for pituitary abnormalities. 1. Headache Classification Committee of The International Headache Society. [journals.sagepub.com]

Neurologic

  • Headache

    Headache Classification Committee of The International Headache Society. The international classification of headache disorders. Cephalalgia 2004 ; 24: 1 – 160. Google Scholar 2. Goadsby, PJ, Lipton, RB. [journals.sagepub.com]

    Sumatriptan, an agonist of 5‐HT 1 ‐like receptors, has proven effective in the treatment of cluster headache attacks. There are clear clinical similarities between chronic paroxysmal hemicrania and cluster headache. [headachejournal.onlinelibrary.wiley.com]

    Ann Emerg Med 52:696–704 PubMed CrossRef Google Scholar Headache Classification Subcommittee of the International Headache Society (2004) The International Classification of Headache Disorders. 2nd edition. [link.springer.com]

    Most cases of autonomic cephalgias are primary headaches and not caused by underlying intracranial structural lesions. [tandfonline.com]

Workup

Serum

  • Hyperprolactinemia

    The dominant role of increased intrasellar pressure in the pathogenesis of hypopituitarism, hyperprolactinemia, and headaches in patients with pituitary adenomas. J Clin Endocrinol Metab 2000 ; 85: 1789 – 93. Google Scholar | Medline | ISI 17. [journals.sagepub.com]

Treatment

In chronic paroxysmal hemicrania, the mean interval between the last three attacks prior to sumatriptan treatment (40 ± 23 minutes) was not statistically different from the mean interval between the three attacks subsequent to sumatriptan treatment of [headachejournal.onlinelibrary.wiley.com]

Headaches were fully responsive to indomethacin during the first 3 months of treatment but recurred when daily doses were lowered. Investigations revealed a macroprolactinoma. Headaches stopped after cabergoline treatment. [journals.sagepub.com]

1 Non-invasive vagus nerve stimulation is beneficial in chronic paroxysmal hemicrania. ( 30709897 ) 2019 2 When Treatment Establishes Diagnosis: A Case Report of Posttraumatic Chronic Paroxysmal Hemicrania. ( 29708585 ) Jacob S...Riggs JE 2018 3 Paroxysmal [malacards.org]

Prognosis

In: Evans RW, Baskin DS, Yatsu FM (eds) Prognosis of Neurological Disorder. 2nd edition. [link.springer.com]

Epidemiology

Cephalalgia 11(4):169–174 PubMed CrossRef CAS Google Scholar Lipton RB, Hamelsky SW, Stewart WF (2001) Epidemiology and impact of headache. In: Silberstein SD, Lipton RB, Dalessio DJ (eds) Wolff’s Headache. [link.springer.com]

Prevention

Search for more papers by this author First published: 05 June 2003 Cited by: 26 Abstract Attacks of chronic paroxysmal hemicrania are prevented by the continuous administration of indomethacin. [headachejournal.onlinelibrary.wiley.com]

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