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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.
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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