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Coexisting trigeminal autonomic cephalalgias and hemicrania continua
Matthew S Robbins1, Brian M Grosberg, Richard B Lipton
1Montefiore Headache Center, Saul R. Korey Department of Neurology, Bronx, NY 10461, USA.
Headache
|January 27, 2010
Summary
Trigeminal autonomic cephalalgias (TACs) and hemicrania continua (HC) are distinct headache disorders, even when occurring together. A patient simultaneously developed cluster headache and HC, showing unique features and treatment responses.
Area of Science:
- Neurology
- Headache Medicine
Background:
- Trigeminal autonomic cephalalgias (TACs) and hemicrania continua (HC) are primary headache disorders.
- Both TACs and HC are characterized by unilateral head pain and ipsilateral autonomic symptoms.
Observation:
- A patient with a history of migraine without aura presented with simultaneous onset of cluster headache (a TAC) and HC.
- The patient exhibited distinct clinical features for both headache types.
Findings:
- The co-occurrence of cluster headache and HC in this patient highlights their distinct pathophysiological mechanisms.
- Differential responses to various treatments further support the classification of cluster headache and HC as separate disorders.
Implications:
- Understanding the relationship between TACs and HC is crucial for accurate diagnosis and effective treatment strategies.
- This case contributes to the literature on overlapping primary headache disorders and their management.
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