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]
Entire Body System
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Pain
[…] neuralgiform headache attacks: a critical appraisal. ( 28730562 ) Baraldi C...Pini LA 2017 5 Paroxysmal Hemicrania-Like Headache Secondary to Phosphodiesterase Inhibitors Administration: A Case Report. ( 28188618 ) Taga A...Torelli P 2017 6 The Rare Painful [malacards.org]
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Inflammation
2006 47 Chronic paroxysmal hemicrania in a 3-year, 10-month-old female. ( 16504793 ) Talvik I...Talvik T 2006 48 Paroxysmal hemicrania in a family. ( 16556252 ) Cohen AS...Goadsby PJ 2006 49 Chronic paroxysmal hemicrania presenting as recurrent orbital inflammation [malacards.org]
Psychiatrical
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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
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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]
Most cases of autonomic cephalgias are primary headaches and not caused by underlying intracranial structural lesions. [tandfonline.com]
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Neuralgia
Bromocriptine-induced trigeminal neuralgia attacks in a patient with a pituitary tumor. Neurology 1988 ; 38: 1482 – 4. Google Scholar Crossref Medline ISI 9. Massiou, H, Launay, JM, Levy, C, El Amrani, M, Emperauger, B, Bousser, MG. [journals.sagepub.com]
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Trigeminal Neuralgia
Bromocriptine-induced trigeminal neuralgia attacks in a patient with a pituitary tumor. Neurology 1988 ; 38: 1482 – 4. Google Scholar Crossref Medline ISI 9. Massiou, H, Launay, JM, Levy, C, El Amrani, M, Emperauger, B, Bousser, MG. [journals.sagepub.com]
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Aura
[…] girl with chronic paroxysmal hemicrania. ( 19068259 ) Talvik I...Talvik T 2009 28 Paroxysmal hemicrania in children--symptoms, diagnostic criteria, therapy and outcome. ( 19236385 ) Blankenburg M...Zernikow B 2009 29 Paroxysmal hemicrania with visual aura [malacards.org]
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Stroke
( 18644027 ) Paviour DC...Ellis CM 2008 37 Headache secondary to haemorrhagic stroke resembling paroxysmal hemicrania. ( 18949281 ) Bazan R...Fonseca RG 2008 38 Paroxysmal hemicrania responding to topiramate. ( 17172571 ) Cohen AS...Goadsby PJ 2007 39 [malacards.org]
Workup
Serum
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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 an [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]
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]