[Chronic paroxysmal hemicrania. A review based on personal cases]

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V Pfaffenrath, G Kufner, W Pöllmann

    Der Nervenarzt
    |August 1, 1984
    PubMed

    Insights

    Chronic paroxysmal hemicrania (CPH) is a rare headache syndrome characterized by daily, strictly unilateral attacks. Prompt response to indomethacin is key for diagnosis, as detailed in these case reports.

    Area of Science:

    • Neurology
    • Headache Medicine

    Background:

    • Chronic paroxysmal hemicrania (CPH) is a rare headache syndrome.
    • Approximately 60 cases have been documented globally since its initial description in 1974.

    Observation:

    • CPH presents with daily headache attacks that are strictly unilateral.
    • Attacks occur frequently, ranging from 5 to 30 episodes within a 24-hour period.
    • Individual attacks are typically brief, lasting from 2 to 30 minutes.

    Findings:

    • The hallmark diagnostic criterion for CPH is a rapid and positive response to indomethacin treatment.
    • This report details the clinical presentation, therapeutic interventions, pathogenetic considerations, and differential diagnosis of CPH.
    • These represent the first reported cases of CPH in West Germany.

    Implications:

    • Highlights the diagnostic significance of indomethacin responsiveness in CPH.
    • Contributes to the understanding and management of rare headache disorders.
    • Expands the geographical case reporting of CPH.

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