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Case reports: chronic paroxysmal hemicrania-tic syndrome
A Martínez-Salio1, J Porta-Etessam, D Pérez-Martínez
1Department of Neurology, Hospital Universitario 12 de Octubre, Madrid, Spain.
Headache
|September 6, 2000
Summary
Chronic paroxysmal hemicrania-tic syndrome, a rare condition, involves simultaneous trigeminal neuralgia and chronic paroxysmal hemicrania. This case study details a male patient whose pain resolved with indomethacin and carbamazepine treatment.
Area of Science:
- Neurology
- Pain Medicine
- Clinical Case Study
Background:
- Chronic paroxysmal hemicrania (CPH) and trigeminal neuralgia (TN) are distinct primary headache disorders.
- The co-occurrence of CPH and TN defines the rare Chronic Paroxysmal Hemicrania-tic Syndrome (CPH-TS).
Observation:
- This report details the third documented case of CPH-TS.
- The patient, a male, experienced synchronous, ipsilateral pain attacks of both CPH and TN with differing localizations.
- This is the first reported male case of CPH-TS.
Findings:
- Simultaneous CPH and TN pain attacks were successfully managed with indomethacin and carbamazepine.
- The successful treatment suggests overlapping or interacting pathophysiological mechanisms.
Implications:
- This case expands the understanding of CPH-TS, a newly described disorder.
- Further research into the pathophysiology of CPH-TS is warranted.
- Effective pharmacological strategies for CPH-TS may involve combined therapies.