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Post-traumatic chronic paroxysmal hemicrania (CPH) with aura.
1Headache Group, Institute of Neurology, and the National Hospital for Neurology and Neurosurgery, Queen Square, London, UK.
Neurology
|February 13, 2001
Summary
A head injury triggered chronic paroxysmal hemicrania (CPH) with migrainous aura. Indomethacin relieved pain, with higher doses eliminating all symptoms, suggesting a link between aura and trigeminal-autonomic headaches.
Area of Science:
- Neurology
- Headache Medicine
Background:
- Chronic paroxysmal hemicrania (CPH) is a rare trigeminal-autonomic headache disorder.
- Head trauma is an uncommon but recognized trigger for various headache types.
Observation:
- A patient developed CPH with migrainous aura after a head injury.
- Attacks included sensory and motor aura, with autonomic symptoms.
- Indomethacin treatment initially reduced pain, then eliminated all symptoms.
Findings:
- Indomethacin effectively treated CPH and associated aura symptoms.
- The patient experienced isolated autonomic and aura symptoms at lower indomethacin doses.
- Complete symptom resolution occurred at 100 mg daily indomethacin.
Implications:
- Migrainous aura can co-occur with trigeminal-autonomic headaches like CPH.
- This association may indicate a shared genetic susceptibility for aura phenomena.
- Further research could explore the link between aura and specific headache syndromes.