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Chronic paroxysmal hemicrania presenting as toothache
R E Delcanho1, S B Graff-Radford
1Section of Orofacial Pain, UCLA School of Dentistry, Los Angeles, California 90024.
Journal of Orofacial Pain
|July 1, 1993
Summary
Chronic paroxysmal hemicrania causes severe, short head pain attacks. Indomethacin effectively treats this condition, even when toothache is the primary symptom.
Area of Science:
- Neurology
- Pain Medicine
Background:
- Chronic paroxysmal hemicrania (CPH) is a rare headache disorder.
- It is characterized by frequent, severe unilateral head pain attacks.
Observation:
- Attacks typically last around 15 minutes.
- Pain is often localized to the frontotemporal region.
- A key feature is the condition's responsiveness to indomethacin.
Findings:
- The study defines the symptom set for CPH.
- Two cases are presented where toothache was the initial presenting symptom.
- This highlights a potential diagnostic challenge.
Implications:
- Clinicians should include CPH in the differential diagnosis for orofacial pain.
- Early recognition can lead to prompt and effective treatment with indomethacin.
- This research broadens the understanding of CPH presentation.