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Hemicrania continua with rhinosinusitis: a case report
1Department of Family Practice, Keimyung University School of Medicine, Daegu, Korea.
Insights
Hemicrania continua, a continuous unilateral headache, was diagnosed in a patient with rhinosinusitis. Indomethacin treatment confirmed the diagnosis, highlighting the link between sinus issues and this headache type.
Area of Science:
- Neurology
- Otolaryngology
Background:
- Hemicrania continua (HC) is a continuous, unilateral headache disorder.
- HC is characterized by associated cranial autonomic symptoms.
- Sinus-related pathologies can be associated with HC.
Abstract:
Hemicrania continua (HC) is an indomethacin-responsive headache, characterized by unilateral and continuous headaches with cranial autonomic symptoms. Various pathologies, including sinus-related conditions, are associated with HC. Here, we report the case of a 62-year-old man with HC and rhinosinusitis. The patient complained of a unilateral continuous headache with ipsilateral cranial autonomic symptoms, conjunctival injection, and eyelid edema for 20 months. HC was identified as a potential diagnosis based on the symptom criteria, and a response to indomethacin confirmed the diagnosis. Trigeminal autonomic cephalalgia should be considered in patients with unilateral headaches and cranial autonomic symptoms.
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