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Hemicrania continua with aura.
M F P Peres1, Hua Chiang Siow, T D Rozen
1Department of Neurology, Jefferson Headache Center, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA. marioperes@yahoo.com
Cephalalgia : an International Journal of Headache
|June 6, 2002
Summary
Hemicrania continua is a continuous headache disorder. A unique variant presents with visual auras preceding or accompanying severe pain exacerbations, fully responsive to indomethacin.
Area of Science:
- Neurology
- Headache Medicine
Background:
- Hemicrania continua is a primary headache disorder.
- It features continuous unilateral pain of moderate intensity.
- Exacerbations involve severe pain and respond completely to indomethacin.
Observation:
- This report details four patients with a distinct hemicrania continua variant.
- These patients experience visual auras.
- The auras occur before or during the severe pain exacerbations.
Findings:
- The observed variant of hemicrania continua is characterized by the presence of visual auras.
- These visual phenomena are directly linked to the severe pain episodes.
- The condition maintains complete responsiveness to indomethacin treatment.
Implications:
- This finding expands the clinical understanding of hemicrania continua.
- It suggests a potential link between visual disturbances and this specific headache type.
- Further research may clarify the pathophysiology and diagnostic criteria for this variant.