Hemicrania continua evolving from episodic paroxysmal hemicrania

Authors: Castellanos-Pinedo, F; Zurdo, M; Martínez-Acebes, E

Source: Cephalalgia, Volume 26, Number 9, September 2006 , pp. 1143-1145(3)

Publisher: Wiley-Blackwell

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Abstract:

Castellanos-Pinedo F, Zurdo M & Martínez-Acebes E. Hemicrania continua evolving from episodic paroxysmal hemicrania: a case report. Cephalalgia 2006; 26:1143-1145. London. ISSN 0333-1024

A 45-year-old woman, who had been diagnosed in our unit with episodic paroxysmal hemicrania, was seen 2 years later for ipsilateral hemicrania continua in remitting form. Both types of headache had a complete response to indomethacin and did not occur simultaneously. The patient had a previous history of episodic moderate headaches that met criteria for probable migraine without aura and also had a family history of headache. The clinical course in this case suggests a pathogenic relationship between both types of primary headache.
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