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Chronic paroxysmal hemicrania-tic syndrome
E Zukerman1, M F Peres, A O Kaup
1Department of Neurology, Universidade Federal de São Paulo, Escola Paulista de Medicina, Brazil. eliovazukerman@hotmail.com
Neurology
|April 6, 2000
Summary
Chronic paroxysmal hemicrania-tic (CPH-tic) syndrome, a rare condition, involves concurrent and ipsilateral chronic paroxysmal hemicrania and ticlike pain. This study presents three new cases, suggesting CPH-tic may be a distinct clinical entity.
Area of Science:
- Neurology
- Headache Medicine
Background:
- Chronic paroxysmal hemicrania (CPH) is a rare primary headache disorder.
- Ticlike pain involves facial nerve involvement.
- The CPH-tic syndrome is a recently described condition associating both symptoms.
Observation:
- The authors report three new cases of CPH-tic syndrome.
- All patients experienced chronic paroxysmal hemicrania and ticlike pain concurrently and on the same side of the face (ipsilaterally).
- This presentation is rare, with only two previous cases documented in literature.
Findings:
- The concurrent and ipsilateral presentation of CPH and ticlike pain is confirmed in these new cases.
- Trigeminal-autonomic cephalalgias (TAC) are considered in the differential diagnosis.
- CPH-tic syndrome may represent a distinct clinical entity separate from other TAC disorders.
Implications:
- Further research is needed to understand the pathophysiology of CPH-tic syndrome.
- Recognition of CPH-tic syndrome can aid in accurate diagnosis and appropriate treatment.
- This syndrome expands the spectrum of trigeminal-autonomic cephalalgias.