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

• Turkish

  History Meanings of "chronic paroxysmal hemicrania" in Turkish English Dictionary : 1 result(s) Category English Turkish Medical 1 Medical chronic paroxysmal hemicrania kronik paroksismal hemikrania Pronunciation of chronic paroxysmal hemicrania Term [tureng.com]

• Anemia

  Clinical suspicion should guide testing for anemia, thyroid disease, liver disease, connective tissue disorders, and infectious diseases (i.e., human immunodeficiency virus antibody and Lyme serology) in patients who have risks or features raising the [aafp.org]

• Localized Pain

  Needs to be distinguished from Trigeminal neuralgia (lancinating localized pain on face/jaw exacerbated by chewing, speaking and not associated with droopy eyelid and tearing) Cluster headache (intense, localized pain on one side of face/head/eye that [educatehealth.ca]

• Hypotension

  Intracranial Hypotension This condition is usually caused by a spontaneous or iatrogenic (post-lumbar puncture) CSF leak. In contrast to intracranial hypertension, the headache of intracranial hypotension is worse upon standing. [aao.org]

• Redness of Eye

  For good measure a red watery eye, runny nose or blocked nose, swelling or eyelid drooping on the side of the headache can be accompaniments. [health.spectator.co.uk]

• Sweating

  The attacks are usually associated with ipsilateral conjunctival injection, lacrimation, nasal congestion, rhinorrhoea, forehead and facial sweating, miosis, ptosis and/or eyelid oedema. They respond absolutely to indomethacin. [ichd-3.org]

  Autonomic symptoms of PH can be any/all of the following, on the same side of the face as the pain: red eye tearing nasal congestion runny nose forehead/facial sweating eyelid edema dilated/constricted pupil Additionally, PH patients often cite dull pain [face-facts.org]

  Other cranial autonomic features include eyelid oedema, forehead/facial sweating, sense of aural fullness and periaural swelling, miosis, mydriasis and swelling of the cheek. [ncbi.nlm.nih.gov]

  In a study conducted by Sjaastad, heating a patient's body will cause the painful side of the forehead to sweat more in CPH patients, while there will be less sweating on that side for those suffering from cluster headaches. [2] Treatments [ edit ] A [en.wikipedia.org]

  Spinal Cord » Headache » Paroxysmal Hemicrania Paroxysmal Hemicrania Definition and Causes: Multiple, daily attacks of pain that occurs along one side of the face or head (i.e. unilateral) and may be sometimes associated with tearing, runny nose and sweating [educatehealth.ca]

• Increased Sweating

  Increased sweating and decreased salivation during attacks and the ability of an alpha-blocking agent or a stellate ganglion blockade to inhibit an increase in IOP suggest sympathetic involvement. [emedicine.medscape.com]

• Facial Pain

  As headache and facial pain are two of the most common medical complaints, it is essential that clinicians are well equipped to handle these issues. [books.google.com]

  […] the facial region. [ijdr.in]

  We report the case of a patient diagnosed as having chronic PH-tic (CPH-tic) syndrome as a clinically isolated syndrome of the central nervous system (CNS) (CIS).A forty year old woman was admitted to our hospital suffering from right facial pain for [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]

• Dysautonomia

  Trigeminal Autonomic Cephalgias These cephalgias have features of both a headache and cranial parasympathetic dysautonomia. [aao.org]

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]

After 2 years and 6 months of treatment, the parents missed the treatment for 1 week and the episodes did not recur. The treatment was discontinued. The patient was free from pain and off the medication 1 year later. [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]

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]

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]

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

Lipton, M.D., 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]

Russell MB (2004) Epidemiology and genetics of cluster headache. Lancet Neurol 3:279–283 PubMed CrossRef Google Scholar 10. Torelli P, Cologno D, Cademartiri C, Manzoni GC (2001). [link.springer.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]

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

Both patients quickly became pain-free after taking indomethacin and required its continued use to prevent headache recurrence. Chronic paroxysmal hemicrania may be manifested by otalgia with a sensation of external ear obstruction. [ncbi.nlm.nih.gov]

[…] 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]

Topiramate in migraine prevention: Results of a large controlled trial. Arch Neurol. 2004;61:490-495. 5. Aurora SK, Dodick DW, Turkel CC, et al. [practicalneurology.com]