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Paroxysmal Hemicrania

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1. Therapeutical approaches to paroxysmal hemicrania, hemicrania continua and short lasting unilateral neuralgiform headache attacks: a critical appraisal Full Text available with Trip Pro

Therapeutical approaches to paroxysmal hemicrania, hemicrania continua and short lasting unilateral neuralgiform headache attacks: a critical appraisal Hemicrania continua (HC), paroxysmal hemicrania (PH) and short lasting neuralgiform headache attacks (SUNCT and SUNA) are rare syndromes with a difficult therapeutic approach. The aim of this review is to summarize all articles dealing with treatments for HC, PH, SUNCT and SUNA, comparing them in terms of effectiveness and safety.A survey

2017 The journal of headache and pain

2. Case Report: Shortest Course of Pediatric Paroxysmal Hemicrania. Full Text available with Trip Pro

Case Report: Shortest Course of Pediatric Paroxysmal Hemicrania. Paroxysmal hemicrania (PH) is a rare primary headache disorder, especially among children. We describe herein a case with the shortest course of pediatric PH among previously reported cases, and the first case report of Japanese pediatric PH. An 11-year-old boy was referred to our clinic by his primary care physician for a headache evaluation. He had been complaining of severe, sharp, pulsating headache for 5 days. Attacks were

2019 Headache

3. Are repetitive pericranial nerve blocks effective in the management of chronic paroxysmal hemicrania?: A case report. Full Text available with Trip Pro

Are repetitive pericranial nerve blocks effective in the management of chronic paroxysmal hemicrania?: A case report. Paroxysmal hemicrania (PH) is a chronic headache disorder characterized by unilateral pain attacks accompanied by cranial autonomic symptoms and responds to indomethacin completely. There are few alternative treatment options for the patients who cannot tolerate indomethacin. Studies exploring the effects of repetitive peripheral cranial nerve blocks in the management of chronic

2019 Medicine

4. Paroxysmal Hemicrania Full Text available with Trip Pro

Paroxysmal Hemicrania Paroxysmal hemicrania (PH) is a primary headache disorder belonging to the group of trigeminal autonomic cephalalgias(TACs). Patients typically experience intense lateralzsed headaches with pain primarily in the ophthalmic trigeminal distribution (V1) associated with superimposed ipsilateral cranial autonomic features. PH is distinguished from other TACs by an exquisite responsiveness to therapeutic doses of indomethacin. Patients may need to be maintained on indomethacin

2018 Annals of Indian Academy of Neurology

5. Occipital Nerve Stimulation for Medically Refractory Chronic Paroxysmal Hemicrania. Full Text available with Trip Pro

Occipital Nerve Stimulation for Medically Refractory Chronic Paroxysmal Hemicrania. To describe the outcome of a patient with refractory chronic paroxysmal hemicrania (CPH) to occipital nerve stimulation (ONS).CPH is a primary headache disorder exquisitely sensitive to indomethacin. In patients unable to tolerate indomethacin, the therapeutic options are limited. ONS is a promising therapy for other refractory headache conditions. We report the first patient with medically refractory CPH

2017 Headache

6. Paroxysmal Hemicrania

Paroxysmal Hemicrania Paroxysmal Hemicrania Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Paroxysmal Hemicrania Paroxysmal (...) Hemicrania Aka: Paroxysmal Hemicrania From Related Chapters II. Classification Short duration Trigeminal Autonomic s similar to Unilateral trigeminal distribution symptoms with autonomic features III. Symptoms Severity Severe pain Characteristics Unilateral orbital, supraorbital or temporal Timing Duration of 2-30 minutes Recurs more than 5 times daily on >50% of days Palliative Relieved with (unlike s which are not relieved with ) Associated Symptoms (at least one of the following autonomic symptoms

2018 FP Notebook

7. Coexistence of contralateral cluster headache and probable paroxysmal hemicrania: a case report Full Text available with Trip Pro

Coexistence of contralateral cluster headache and probable paroxysmal hemicrania: a case report The trigeminal autonomic cephalagias (TACs) are short-lasting unilateral headaches associated with autonomic features. Even if coexistence of different ipsilateral TACs in the same patient has been previously reported in few papers, the simultaneous occurrence of contralateral TACs is not described previously.A 50 years old working man complained, at the end of his cluster period, a new TAC, fitting (...) the criteria for probable paroxysmal hemicrania. The dramatic improvement of this last cephalalgia with indomethacin treatment confirmed the diagnosis.There is a clear overlap in clinical diagnosis between cluster headache (CH) and paroxysmal hemicrania (PH) and similarities are somewhat greater than differences. The originality of this report is the coexistence of contralateral TACs in the same patients at the same moment. According neuroimaging studies, CH hypothalamic activation occurs ipsilateral

2016 SpringerPlus

8. "Cough Hemicrania" - An Overlapping Form of Headache: Case Reports. (Abstract)

"Cough Hemicrania" - An Overlapping Form of Headache: Case Reports. To describe two patients with recurring unilateral brief headaches that fulfilled criteria for both primary cough headache (CH) and chronic paroxysmal hemicrania (CPH).CH is typically a bilateral headache, specifically triggered by cough, straining, or other Valsalva maneuvers. The report of cases sharing features with other primary headache disorders, such as CPH, suggest common pathogenic mechanisms.Case reports.Two patients

2017 Headache

9. Chronic Paroxysmal Hemicrania (Overview)

Chronic Paroxysmal Hemicrania (Overview) Chronic Paroxysmal Hemicrania: Background, Etiology, Epidemiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTE0MjI5Ni1vdmVydmlldw== processing > Chronic Paroxysmal (...) Hemicrania Updated: Dec 08, 2014 Author: Manish K Singh, MD; Share Email Print Feedback Close Sections Sections Chronic Paroxysmal Hemicrania Overview Background Chronic paroxysmal hemicrania (CPH), also known as Sjaastad syndrome, was first described in 1974, by Sjaastad and Dale. [ ] In 1976, the term CPH was proposed by Sjaastad on the basis of the first 2 patients, who had daily (ie, chronic), solitary, limited attacks (ie, paroxysmal) of unilateral headache that did not shift sides (ie, hemicrania

2014 eMedicine.com

10. Chronic Paroxysmal Hemicrania (Follow-up)

Chronic Paroxysmal Hemicrania (Follow-up) Chronic Paroxysmal Hemicrania Treatment & Management: Approach Considerations Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTE0MjI5Ni10cmVhdG1lbnQ= processing > Chronic (...) Paroxysmal Hemicrania Treatment & Management Updated: Dec 08, 2014 Author: Manish K Singh, MD; Share Email Print Feedback Close Sections Sections Chronic Paroxysmal Hemicrania Treatment Approach Considerations The treatment of choice for chronic paroxysmal hemicrania (CPH) is indomethacin, which has an absolute effect on the symptoms. Episodic cluster headache (CH) and CPH respond well to this agent. Take precautions to prevent serious gastrointestinal and renal complications secondary to long-term use

2014 eMedicine.com

11. Chronic Paroxysmal Hemicrania (Diagnosis)

Chronic Paroxysmal Hemicrania (Diagnosis) Chronic Paroxysmal Hemicrania: Background, Etiology, Epidemiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTE0MjI5Ni1vdmVydmlldw== processing > Chronic Paroxysmal (...) Hemicrania Updated: Dec 08, 2014 Author: Manish K Singh, MD; Share Email Print Feedback Close Sections Sections Chronic Paroxysmal Hemicrania Overview Background Chronic paroxysmal hemicrania (CPH), also known as Sjaastad syndrome, was first described in 1974, by Sjaastad and Dale. [ ] In 1976, the term CPH was proposed by Sjaastad on the basis of the first 2 patients, who had daily (ie, chronic), solitary, limited attacks (ie, paroxysmal) of unilateral headache that did not shift sides (ie, hemicrania

2014 eMedicine.com

12. Chronic Paroxysmal Hemicrania (Treatment)

Chronic Paroxysmal Hemicrania (Treatment) Chronic Paroxysmal Hemicrania Treatment & Management: Approach Considerations Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTE0MjI5Ni10cmVhdG1lbnQ= processing > Chronic (...) Paroxysmal Hemicrania Treatment & Management Updated: Dec 08, 2014 Author: Manish K Singh, MD; Share Email Print Feedback Close Sections Sections Chronic Paroxysmal Hemicrania Treatment Approach Considerations The treatment of choice for chronic paroxysmal hemicrania (CPH) is indomethacin, which has an absolute effect on the symptoms. Episodic cluster headache (CH) and CPH respond well to this agent. Take precautions to prevent serious gastrointestinal and renal complications secondary to long-term use

2014 eMedicine.com

13. Facial presentations of migraine, TACs, and other paroxysmal facial pain syndromes. (Abstract)

with migraine, 2.3% (44 of 1,935) reported a facial involvement, most commonly in V2. Of these, 18 patients (40.9%) experienced the pain predominantly in the face. In patients with cluster headache, 14.8% (42 of 283) reported a facial involvement, of which 31.0% perceived the pain predominantly in the face. A facial involvement was seen in 45.0% of patients with paroxysmal hemicrania (9 of 20), 21.4% of patients with hemicrania continua (9 of 42), and 20.0% of patients with short-lasting unilateral (...) Facial presentations of migraine, TACs, and other paroxysmal facial pain syndromes. To assess the prevalence of facial pain (V2 and/or V3) presentations among nearly 3,000 patients with headache treated in a university tertiary care center.Between 2010 and 2018, we routinely assessed the prevalence of facial pain presentations of all patients with primary headaches.Of 2,912 patient datasets, 291 patients reported facial pain either as an independent or as an additional symptom. Among patients

2019 Neurology

14. Paroxysmal Hemicrania

Paroxysmal Hemicrania Paroxysmal Hemicrania Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Paroxysmal Hemicrania Paroxysmal (...) Hemicrania Aka: Paroxysmal Hemicrania From Related Chapters II. Classification Short duration Trigeminal Autonomic s similar to Unilateral trigeminal distribution symptoms with autonomic features III. Symptoms Severity Severe pain Characteristics Unilateral orbital, supraorbital or temporal Timing Duration of 2-30 minutes Recurs more than 5 times daily on >50% of days Palliative Relieved with (unlike s which are not relieved with ) Associated Symptoms (at least one of the following autonomic symptoms

2015 FP Notebook

15. Putative pathophysiological mechanisms in recurrent hemicrania from aortic dissection: a case report Full Text available with Trip Pro

magnetic resonance imaging were unremarkable. The concomitant presence of chest pain made us consider aortic dissection. Contrast-enhanced cervico-thoraco-abdominal computerized tomography revealed type A aortic dissection. The patient underwent surgical replacement of the ascending aorta and reported no further episode of headache thereafter. Differential diagnosis of headache in this case includes paroxysmal hemicrania, cluster headache, migraine, trigeminal neuralgia and short lasting unilateral (...) Putative pathophysiological mechanisms in recurrent hemicrania from aortic dissection: a case report Transient or permanent neurological symptoms occur in 17-40% of patients with aortic dissection. They can distract from or even mask the underlying life-threatening condition.We present the case of a young Caucasian man who consulted for recurrent episodes of stereotyped right-sided sudden-onset severe headache. Upon questioning, he also reported a dull chest pain. Clinical examination and brain

2015 BMC research notes

16. Hemicrania Continua. Unquestionably a Trigeminal Autonomic Cephalalgia. (Abstract)

Hemicrania Continua. Unquestionably a Trigeminal Autonomic Cephalalgia. Hemicrania continua (HC) is a well-known primary headache. The present version of the International Classification of Headache Disorders lists HC in the "other primary headaches" group. However, evidence has emerged demonstrating that HC is a phenotype that belongs to the trigeminal autonomic cephalalgias together with cluster headache, paroxysmal hemicrania (PH), and short-lasting, unilateral neuralgiform headache attacks (...) with conjunctival injection and tearing. This is supported by a common general clinical picture - paroxysmal, fluctuating, unilateral, side-locked headaches located to the ocular, frontal, and/or temporal regions, accompanied by ipsilateral autonomic dysfunctions including for example, tearing and conjunctival injection. Apart from the remarkable clinical similarities, the absolute and incomparable effect of indomethacin in HC parallels the effect of this drug in PH, suggesting a shared core pathogenesis

2013 Headache

17. Hemicrania continua Full Text available with Trip Pro

). "Hemicrania continua: a third case in which attacks alternate sides". Headache . 44 (8): 821–3. : . . ^ Matharu MS, Bradbury P, Swash M (2006). "Hemicrania continua: side alternation and response to topiramate". Cephalalgia . 26 (3): 341–4. : . . Pareja JA, Caminero AB, Franco E, Casado JL, Pascual J, Sánchez del Río M (2001). "Dose, efficacy and tolerability of long-term indomethacin treatment of chronic paroxysmal hemicrania and hemicrania continua". Cephalalgia: An International Journal of Headache (...) Hemicrania continua Hemicrania continua - Wikipedia Hemicrania continua From Wikipedia, the free encyclopedia Hemicrania continua Hemicrania continua ( HC ) is a persistent that responds to . It is usually unremitting, but rare cases of remission have been documented. Hemicrania continua is considered a , meaning that it is not caused by another condition. Contents Symptoms [ ] In addition to persistent daily headache of HC, which is usually mild to moderate (and frequently severe), HC can

2012 Wikipedia

18. Headache

in association with ipsilateral cranial autonomic signs and symptoms. Cluster headache is the only relatively common member of this headache disorder family. The others are rare and are characterized by short attacks: paroxysmal hemicrania, hemicrania continua, hypnic headaches, and short, unilateral neuralgiform headache attacks with unilateral conjunctival injection and tearing (SUNCT). SUNCT can occur without the unilateral conjunctival injection and tearing. All of these are diagnosed clinically (...) Appropriateness Criteria ® 13 Headache Paroxysmal hemicranias are more frequent, and individual attacks are shorter in duration when compared with cluster headache. MRI of the brain with and without contrast should be performed in all patients with paroxysmal hemicranias. Trigeminal neuralgia is diagnosed by history, clinical evaluation, and the presence of paroxysmal and shock-like pain with a trigger zone in the distribution of the fifth cranial nerve. For trigeminal neuralgia refractory to medical therapy

2019 American College of Radiology

20. Migraine

symptom which can be associated with many conditions. The differential diagnosis depends on the clinical picture and includes: Other headaches not associated with an underlying condition (primary headaches) including: Tension-type headache. Trigeminal autonomic cephalgias for example cluster headache and paroxysmal hemicranias. Other primary headache disorders such as primary cough headache and cold-stimulus headache. Headaches due to an underlying condition (secondary headaches) including: Trauma

2019 NICE Clinical Knowledge Summaries

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