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Related Experiment Videos

Hemicrania continua: attacks may alternate sides.

L C Newman1, R B Lipton, M Russell

  • 1Department of Neurology, Albert Einstein College of Medicine, Bronx, New York.

Headache
|May 1, 1992
PubMed
Summary

Hemicrania continua (HC) typically presents as continuous unilateral headaches. This case report details a rare presentation of HC with headaches alternating sides, challenging typical diagnostic criteria.

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Area of Science:

  • Neurology
  • Headache Medicine

Background:

  • Hemicrania continua (HC) is a primary headache disorder defined by continuous unilateral pain.
  • HC typically presents with moderate-intensity headaches that persist for years without remission or alternate between severe and moderate phases.
  • Distinguishing HC from other cyclical headache disorders like episodic paroxysmal hemicrania is crucial.

Observation:

  • This report describes a unique case of Hemicrania continua (HC).
  • The patient experienced headaches that characteristically alternated sides.
  • This presentation deviates from the typical unilateral, non-shifting headache pattern of HC.

Findings:

  • The case highlights a rare variant of Hemicrania continua (HC).
  • Headache side-alternation in HC challenges established diagnostic features.

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  • This atypical presentation necessitates a broader understanding of HC's clinical spectrum.

    • Implications:

    • This case expands the recognized clinical spectrum of Hemicrania continua (HC).
    • It underscores the importance of considering atypical presentations in diagnosing HC.
    • Further research may elucidate the mechanisms behind side-alternating HC headaches.