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The paroxysmal hemicrania-tic syndrome
C J Boes1, M S Matharu, P J Goadsby
1Headache Group, Institute of Neurology, London UK.
Cephalalgia : an International Journal of Headache
|January 22, 2003
Summary
This study reviews two cases of paroxysmal hemicrania (PH) and trigeminal neuralgia, finding distinct responses to treatment. The authors propose a new term, paroxysmal hemicrania-tic syndrome (PH-tic), for this association.
Area of Science:
- Neurology
- Headache Medicine
Background:
- Paroxysmal hemicrania (PH) is a rare headache disorder characterized by severe, unilateral head pain.
- Trigeminal neuralgia involves facial pain along the trigeminal nerve distribution.
Observation:
- Two cases presenting with co-occurring PH and trigeminal neuralgia were analyzed.
- One patient experienced episodic PH, while the other had chronic PH.
- Both headache types demonstrated complete and separate responses to specific treatments.
Findings:
- The association between PH and trigeminal neuralgia is highlighted.
- Six previously reported cases of chronic paroxysmal hemicrania-tic (CPH-tic) were reviewed.
- The term paroxysmal hemicrania-tic syndrome (PH-tic) is proposed for this comorbidity.
Implications:
- Recognizing this PH and trigeminal neuralgia association is crucial for accurate diagnosis and effective management.
- The proposed PH-tic syndrome may improve classification and understanding of these complex headache presentations.
- Further research is warranted to elucidate the pathophysiology and optimal treatment strategies for PH-tic syndrome.
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