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LASH: A Review of the Current Literature
William Kingston1, Rashmi Halker2
1Mayo Clinic Arizona, Phoenix, AZ, USA. willkingston@gmail.com.
Current Pain and Headache Reports
|July 7, 2017
Summary
Long-lasting autonomic symptoms with associated hemicranias (LASH) is a rare disorder. Current findings suggest LASH may be an extreme variant of trigeminal autonomic cephalalgias (TACs).
Area of Science:
- Neurology
- Headache Medicine
- Autonomic Disorders
Background:
- Long-lasting autonomic symptoms with associated hemicranias (LASH) is a rare neurological disorder.
- Understanding LASH is limited due to its rarity.
Purpose of the Study:
- To review and synthesize current knowledge on LASH.
- To evaluate LASH in the context of other headache disorders.
Main Methods:
- Literature review of documented LASH cases.
- Comparative analysis with trigeminal autonomic cephalalgias (TACs).
Main Results:
- Only four cases of LASH are documented in medical literature.
- LASH shares characteristics and indomethacin response with TACs.
- LASH may represent an extreme presentation of TACs, similar to paroxysmal hemicrania (PH) and hemicrania continua (HC).
Conclusions:
- The pathophysiology and epidemiology of LASH require further investigation.
- LASH's position within the spectrum of TACs warrants additional research.
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