Symptoma

Paroxysmal Hemicrania

(five male and two female) found in association with other pathologies published from 1980 up to the present. [ncbi.nlm.nih.gov]

  • Hunting

    Orbital phlebography showed changes similar to those previously observed in patients with Tolosa-Hunt syndrome and cluster headache. Venous vasculitis thus seems to be associated with all three disorders and may be a factor of etiologic significance. [ncbi.nlm.nih.gov]

  • Epigastric Pain

    Due to appearance of epigastric pains indomethacin treatment was replaced with lamotrigine which successfully resolved the symptoms. Full Text: PDF Refbacks There are currently no refbacks. [pjms.com.pk]

  • Ulcer

    Both patients treated with indomethacin developed gastric ulcer. And both had gastric surgery. Indomethacin therapy may be a life-long affair. The risk of gastric complications may be substantial. [ncbi.nlm.nih.gov]

    Neuros do not have to fix the stomachs or intestines they ruin, so their lack of accountability and subsequent interest in GI issues they cause is palpable (I have the ulcers to prove it). [clusterheadaches.com.au]

  • Hyperhidrosis

    In cluster headache, there is a relative hypohidrosis in the forehead on the symptomatic side if body temperature is increased, and a clear hyperhidrosis on direct parasympathomimetic stimulation. This was not so in our case. [ncbi.nlm.nih.gov]

  • Photosensitivity

    There are no associated features such as photosensitivity (sensitivity to light) or nausea/vomiting unlike in migrane. PH is classified by the frequency and duration of attacks experienced by patients. [gosh.nhs.uk]

  • Back Pain

    She also suffered from chronic fatigue, back pain, arthralgia, vertigo, chronic constipation and spontaneous ecchymoses. [ncbi.nlm.nih.gov]

  • Severe Unilateral Headaches

    The patient was admitted because of frequent episodes of severe unilateral headaches during the day and nighttime as well as agitation. During the episodes, she complained of severe pains on the left orbital and supraorbital region. [ncbi.nlm.nih.gov]

    A cluster headache (according to International Headache Society criteria {Cephalgia 2004;24 (Suppl 1)} ) has to satisfy the following criteria: 1) Severe unilateral headache in the orbital, supraorbital, or temporal region lasting 15 minutes to 3 hours [bellaireneurology.com]

    Affected patients usually complain of moderate to severe unilateral headache that is almost constant but has fluctuations in severity. Spikes of severe pain may last up to 60 minutes. [consultant360.com]

Since CPH is rare, a workup to exclude secondary causes may be appropriate. These would include tumors, collagen vascular disease, cerebrovascular disease, and an aneurysm. [chicagoheadacheclinic.com]

Diagnostic criteria IHS diagnostic criteria for CPH include the following (see Presentation, Workup, Treatment, and Medication) [4, 5, 6] : At least 50 attacks fulfilling the criteria mentioned in the bullet points below Attacks of severe, unilateral [emedicine.medscape.com]

Other effective therapeutic options are intravenous steroids for acute treatment and topiramate for prolonged treatment. [ncbi.nlm.nih.gov]

Prognosis Many patients experience complete to near-complete relief of symptoms following physician-supervised medical treatment. [ninds.nih.gov]

(See Prognosis.) Before the development of chronic symptoms, many patients (42%) pass through a nonchronic stage, with attacks separated by intervals of complete remission. [emedicine.medscape.com]

Statistics and Prognosis of Hemicrania Continua Hemicrania continua is a rare primary headache with female predominance. Natural history and age of onset of hemicrania continua are not clear. [doctorstrizhak.com]

Prognosis Many patients experience complete relief or near-complete relief of symptoms following medical treatment for paroxysmal hemicrania. [encyclopedia.com]

[…] the PREEMPT trials than those without MOH.8 These results were similar to a previous study of topiramate for CM prophylaxis that allowed MOH.9 Both studies largely excluded patients overusing opioids and barbituates, which usually have a more guarded prognosis [practicalneurology.com]

Venous vasculitis thus seems to be associated with all three disorders and may be a factor of etiologic significance. [ncbi.nlm.nih.gov]

(See Etiology and DDx.) [emedicine.medscape.com]

Diagnosis of orofacial pain is a challenge for dentists and physicians', becoming even more complicated when patient's signs and symptoms are due to rare etiologies such PH. [ijdr.in]

However, even people fitting all criteria for paroxysmal hemicrania, including a complete response to indomethacin, can have a secondary etiology. Tests such as an MRI may be performed to rule out other causes for the headache. [americanmigrainefoundation.org]

Aspects of PH including epidemiology, genetics, pathophysiology, clinical presentation, classification and variants, diagnosis, medical management, and dental considerations are discussed. [ncbi.nlm.nih.gov]

is Professor and Vice Chair of Neurology, and Professor of Epidemiology and Population Health at the Albert Einstein College of Medicine in New York. [books.google.com]

Epidemiological profiles, and clinical features of patients fulfilling the criteria for PH (17 patients) are noted in Table 1. Patients with atypical features (with no cranial autonomic features or headache frequency 2. [thejournalofheadacheandpain.springeropen.com]

[…] first two months, and no symptoms or side-effects were recorded after a three-month followup. [9] Use of topiramate has also been found to be an effective treatment for CPH, but cluster headache medications have been found to have little effect. [6] Epidemiology [en.wikipedia.org]

Functional neuroimaging studies have demonstrated activation of the hypothalamus in cases of trigeminal autonomic cephalgias. [9, 10] Epidemiology Occurrence in the United States CPH is a rare syndrome, but the number of diagnosed cases is increasing. [emedicine.medscape.com]

The possible pathophysiological significance of this concurrence of both types of indomethacin-responsive pain is discussed. [ncbi.nlm.nih.gov]

For SUNCT and SUNA the most effective treatments are intravenous or subcutaneous lidocaine for the acute treatment of active phases and lamotrigine for the their prevention. [ncbi.nlm.nih.gov]

[…] ipsilateral to the headache: – conjunctival injection and/or lacrimation – nasal congestion and/or rhinorrhoea – eyelid oedema – forehead and facial sweating – miosis and/or ptosis a sense of restlessness or agitation Occurring with a frequency of 5 per day 1 Prevented [ichd-3.org]

Take precautions to prevent serious gastrointestinal and renal complications secondary to long-term use of indomethacin. [emedicine.medscape.com]