Overall, facial involvement was reported in 45.0, 21.4, and 20.0 percent, respectively, of patients with paroxysmal hemicrania
, hemicrania continua, and short-lasting neuralgiform headache attacks with conjunctival injection and tearing/short-lasting unilateral neuralgiform headache attacks with cranial autonomic symptoms.
Those with paroxysmal hemicrania
-- a type of headache with severe, often short attacks on one side of the head -- had the highest rate of facial pain (45%).
Similar to the indomethacin response in the diagnosis of paroxysmal hemicrania
and hemicrania continua, there are also ideas about the use of IV lidocaine as a diagnostic tool for SUNCT (4).
Presentations at the meeting will highlight new data that span migraine, chronic cluster headache and chronic paroxysmal hemicrania
patient populations, as well as co-occurrences relating to functional disorders, such as primary headache.
Chronic Paroxysmal Hemicrania
(CPH) comprises another differential diagnosis in this case.
In the literature, a few case reports exist regarding topiramate use in the treatment of headache syndromes such as exploding head syndrome and chronic paroxysmal hemicrania
instead of epileptic disorders (7,8).
The response to this therapy also essentially excluded other causes of unilateral headache like paroxysmal hemicrania
, hemicrania continua and short-lasting, unilateral neuralgiform pain with conjuctival injection and tearing (SUNCT syndrome), which do not respond to oxygen.11
The patient was clinically diagnosed as chronic paroxysmal hemicrania
and initially treated with indomethacin.
A headache that affects only one side of the head where there is intense pain around the eye lasting 5 to 30 minutes and occurring multiple times per day.
TAC consists of three separate presentations: cluster headache, paroxysmal hemicrania
and SUNCT (short-lasting unilateral neuralgiform headache with conjunctival injection and tearing).
* Paroxysmal hemicrania
. This is a trigeminal autonomic cephalgia characterized by severe, unilateral, retroorbital pain.