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'INDOTEST' in atypical hemicrania continua.

F Baldacci¹, A Nuti, G Cafforio

¹Department of Neurosciences, University of Pisa, Pisa, Italy. f.baldacci79@yahoo.it

Cephalalgia : an International Journal of Headache

|February 8, 2008

Summary

Hemicrania continua (HC) is a persistent, one-sided headache. An indomethacin challenge test (INDOTEST) accurately predicted treatment response in patients with atypical HC features, aiding diagnosis and therapy.

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Area of Science:

Neurology
Headache Medicine

Background:

Hemicrania continua (HC) is defined as a chronic, strictly unilateral, persistent headache.
It is known to be responsive to indomethacin treatment.

Observation:

Three cases of HC with atypical features were analyzed.
An acute intramuscular indomethacin test (INDOTEST) was administered to these patients.

Findings:

In all three cases, the INDOTEST successfully predicted a chronic response to indomethacin.
This suggests the diagnostic utility of INDOTEST in atypical HC presentations.

Implications:

The INDOTEST may serve as a valuable tool for diagnosing Hemicrania continua, especially in cases with unusual characteristics.
This diagnostic approach can guide appropriate and timely therapeutic interventions for patients with HC.