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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
PubMed

Insights

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.

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.

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