Prakash S, Rathore C, Makwana P. Hemicrania continua with contralateral cranial autonomic features: a case report.
J Headache Pain 2015;
16:21. [PMID:
25902939 PMCID:
PMC4385230 DOI:
10.1186/s10194-015-0508-6]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2014] [Accepted: 02/27/2015] [Indexed: 01/03/2023] Open
Abstract
BACKGROUND
Hemicrania continua is characterized by continuous strictly unilateral head pain with episodic exacerbations. Episodic exacerbations are associated with ipsilateral cranial autonomic features.
CASE DESCRIPTION
We report a 24-year female with a 2-year history of continuous right-sided headache with superimposed exacerbations. Episodic exacerbations were associated with marked agitation and contralateral cranial autonomic features. The patient showed a complete response to indomethacin within 8 hours.
DISCUSSION
The dichotomy of pain and autonomic features is in accordance with the concept about the possibility of two separate pathways for pain and autonomic features in trigeminal autonomic cephalalgias.
Collapse