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Episodic and chronic paroxysmal hemicrania.
1Division of Neurology, Brigham and Women's Hospital, Boston, Massachusetts 02115.
The Clinical Journal of Pain
|March 1, 1992
Summary
Episodic and chronic paroxysmal hemicrania are distinct headache disorders. Both conditions respond effectively to indomethacin, differentiating them from cluster headaches requiring different treatments.
Area of Science:
- Neurology
- Headache Medicine
Background:
- Chronic paroxysmal hemicrania (CPH) is a recognized headache disorder.
- Episodic presentations of CPH are less commonly known.
Observation:
- This study presents additional cases of both episodic and chronic paroxysmal hemicrania.
- Clinical features of these headache types are illustrated.
Findings:
- Both episodic and chronic paroxysmal hemicrania demonstrate a significant positive response to indomethacin treatment.
- This therapeutic response is a key diagnostic indicator.
Implications:
- Accurate diagnosis is crucial for effective headache management.
- Distinguishing paroxysmal hemicrania from cluster headache ensures appropriate therapeutic strategies, as treatments differ significantly.