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Published on: June 2, 2014
Familial hemicrania continua
Mark W Weatherall1, Anish Bahra
1Princess Margaret Migraine Clinic, Charing Cross Hospital, London, UK. mark.weatherall@doctors.org.uk
Insights
This study reports the first familial hemicrania continua case in a mother and daughter. Both responded to indometacin, suggesting a genetic link in this primary headache disorder.
Area of Science:
- Neurology
- Genetics
- Pain Medicine
Background:
- Familial hemiplegic migraine has three known causative genes.
- Genetic predisposition is increasingly recognized for migraine with/without aura and cluster headache.
- Primary headache disorders often have a genetic component.
Observation:
- Presents the first reported case of familial hemicrania continua.
- A mother and daughter developed hemicrania continua concurrently.
- Both patients experienced migraine with aura.
Findings:
- Both mother and daughter exhibited an absolute response to indometacin at similar dosages.
- This case suggests a potential genetic basis for hemicrania continua.
- The shared symptomology and treatment response indicate a possible inherited link.
Implications:
- Supports the hypothesis of a genetic predisposition in primary headache disorders.
- Highlights the role of genetic factors in the dysfunction of the brain's pain system.
- Further research into the genetics of hemicrania continua is warranted.
Abstract:
There are now three known causative genes for familial hemiplegic migraine and increasing evidence to support a genetic predisposition to the more common types of migraine with and without aura, and for cluster headache. We present the first reported case of familial hemicrania continua. A mother and daughter developed hemicrania continua at the same time of life. Both showed an absolute response to indometacin and at similar doses. Both also suffered from migraine with aura. We discuss the increasing support for a genetic predisposition to dysfunction of the pain system within the brain manifesting as primary headache.
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