448 results match your criteria Chronic Paroxysmal Hemicrania


Headache Attack Similar to Paroxismal Hemicrania Seen During Flight.

Aerosp Med Hum Perform 2020 Apr;91(4):373-375

Airplane headache (AH) is unique to plane travel and looks like a short duration migraine attack or paroxysmal hemicrania (PH) attack without any autonomic symptoms. Until now, there has been no documented association between AH and PH. We report a 50-yr-old healthy woman with a very severe and sudden pulsating headache located in the left frontal region with radiation into the left eye during takeoff which diminished within 10-15 min during her airplane journeys. Read More

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http://dx.doi.org/10.3357/AMHP.5540.2020DOI Listing

Cerebral Sinus Venous Thrombosis Mimicking Probable Paroxysmal Hemicrania: A Case Report.

Headache 2020 May 2;60(5):992-993. Epub 2020 Mar 2.

Department of Neurology, Mayo Clinic, Rochester, MN, USA.

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http://dx.doi.org/10.1111/head.13781DOI Listing

Trigeminal Autonomic Cephalalgias.

Neurol Clin 2019 11 24;37(4):847-869. Epub 2019 Aug 24.

Department of Neurology, Mayo Clinic Florida, 4500 San Pablo Road, Jacksonville, FL 32224, USA.

The trigeminal autonomic cephalalgias (TACs) are a group of primary headache syndromes all marked by unilateral headache and ipsilateral cranial autonomic features. The TACs include cluster headache, paroxysmal hemicrania, short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing, and hemicrania continua. Pathophysiology includes the trigeminal pain system, autonomic system, hypothalamus, and more recently an identified role for the vagus nerve. Read More

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http://dx.doi.org/10.1016/j.ncl.2019.07.001DOI Listing
November 2019
1 Read

Facial presentations of migraine, TACs, and other paroxysmal facial pain syndromes.

Neurology 2019 09 21;93(12):e1138-e1147. Epub 2019 Aug 21.

From the Department of Systems Neuroscience, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Objective: 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.

Methods: Between 2010 and 2018, we routinely assessed the prevalence of facial pain presentations of all patients with primary headaches.

Results: Of 2,912 patient datasets, 291 patients reported facial pain either as an independent or as an additional symptom. Read More

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http://dx.doi.org/10.1212/WNL.0000000000008124DOI Listing
September 2019
1 Read

Are repetitive pericranial nerve blocks effective in the management of chronic paroxysmal hemicrania?: A case report.

Medicine (Baltimore) 2019 Aug;98(31):e16484

Introduction: 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 PH are limited. Read More

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http://dx.doi.org/10.1097/MD.0000000000016484DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6708846PMC
August 2019
1 Read
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Presentation and Management of Headache in Pituitary Apoplexy.

Curr Pain Headache Rep 2019 Jul 29;23(9):61. Epub 2019 Jul 29.

Department of Neurology, MedStar Georgetown University Hospital, 3800 Reservoir Road NW, Washington, DC, 20007, USA.

Purpose Of Review: Pituitary apoplexy (PA) occurs in the setting of an infarction and/or hemorrhage of a pre-existing adenoma. The most common presenting symptom is a severe, sudden onset headache. However, the characteristics of headache in the setting of PA are varied and can sometimes mimic primary headache disorders. Read More

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http://dx.doi.org/10.1007/s11916-019-0798-5DOI Listing
July 2019
4 Reads

Case Report: Shortest Course of Pediatric Paroxysmal Hemicrania.

Headache 2019 07 1;59(7):1084-1087. Epub 2019 Jul 1.

Department of Neurology, Saiseikai Siga Hospital, Ritto, Japan.

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. Read More

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http://dx.doi.org/10.1111/head.13580DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6772011PMC
July 2019
4 Reads

Do paroxysmal hemicrania and hemicrania continua represent different headaches? A retrospective study.

Neurol Sci 2019 Nov 29;40(11):2371-2376. Epub 2019 Jun 29.

Department of Neurology, SGPGIMS, Raebareli Road, Lucknow, UP, 226014, India.

Objective: Hemicrania continua and paroxysmal hemicrania are considered different headaches belonging to a group of trigeminal autonomic cephalalgias. However, they share many clinical features. Both headaches also show complete response to indomethacin, which is a mandatory criterion for their diagnosis. Read More

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http://dx.doi.org/10.1007/s10072-019-03980-7DOI Listing
November 2019
2 Reads

Multiple cranial nerve blocks for the transitional treatment of chronic headaches.

Cephalalgia 2019 Oct 13;39(12):1488-1499. Epub 2019 May 13.

Headache Group, Institute of Neurology and The National Hospital for Neurology and Neurosurgery, Queen Square, London, UK.

Background: Multiple cranial nerve blocks of the greater and lesser occipital, supraorbital, supratrochlear and auriculotemporal nerves are widely used in the treatment of primary headaches. We present efficacy and safety data for these procedures.

Methods: In an uncontrolled open-label prospective study, 119 patients with chronic cluster headache, chronic migraine, short lasting unilateral neuralgiform attack disorders, new daily persistent headaches, hemicrania continua and chronic paroxysmal hemicrania were examined. Read More

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http://dx.doi.org/10.1177/0333102419848121DOI Listing
October 2019
26 Reads

Non-invasive vagus nerve stimulation is beneficial in chronic paroxysmal hemicrania.

J Neurol Neurosurg Psychiatry 2019 09 1;90(9):1072-1074. Epub 2019 Feb 1.

Headache Group, The National Hospital for Neurology and Neurosurgery, London, UK

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http://dx.doi.org/10.1136/jnnp-2018-319538DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6820155PMC
September 2019
2 Reads

The Treatment of Trigeminal Autonomic Cephalalgias: An Overview.

J Oral Facial Pain Headache 2019 Winter;33(1):89-104

Trigeminal autonomic cephalalgias (TACs) are primary headaches that include cluster headache (CH), paroxysmal hemicrania (PH), and short-lasting unilateral neuralgiform headache attacks (SUNHAs) with conjunctival injection and tearing (SUNCT) or cranial autonomic features (SUNA). Hemicrania continua (HC) is another form that has been ascribed to TACs for clinical and pathophysiologic reasons. Cluster headache is the most common of these syndromes, even if comparatively rare, with a lifetime prevalence of around 1 in 1,000. Read More

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http://dx.doi.org/10.11607/ofph.1922DOI Listing
November 2019
6 Reads

Primary Headaches.

Dent Clin North Am 2018 Oct 14;62(4):611-628. Epub 2018 Aug 14.

Tufts University School of Dental Medicine, 1 Kneeland Street, Suite 601, Boston, MA 02111, USA.

The primary headaches are composed of multiple entities that cause episodic and chronic head pain in the absence of an underlying pathologic process, disease, or traumatic injury. The most common of these are migraine, tension-type headache, and the trigeminal autonomic cephalalgias. This article reviews the clinical presentation, pathophysiology, and treatment of each to help in differential diagnosis. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00118532183005
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http://dx.doi.org/10.1016/j.cden.2018.06.006DOI Listing
October 2018
18 Reads

Cluster Headache and Other Trigeminal Autonomic Cephalalgias.

Authors:
Mark Burish

Continuum (Minneap Minn) 2018 08;24(4, Headache):1137-1156

Purpose Of Review: This article covers the clinical features, differential diagnosis, and management of the trigeminal autonomic cephalalgias (TACs). The TACs are composed of five diseases: cluster headache, paroxysmal hemicrania, short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT), short-lasting unilateral neuralgiform headache attacks with cranial autonomic symptoms (SUNA), and hemicrania continua.

Recent Findings: New classifications for the TACs have two important updates; chronic cluster headache is now defined as remission periods lasting less than 3 months (formerly less than 1 month), and hemicrania continua is now classified as a TAC (formerly classified as other primary headache). Read More

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http://dx.doi.org/10.1212/CON.0000000000000625DOI Listing
August 2018
4 Reads

Hints on Diagnosing and Treating Headache.

Authors:
Arne May

Dtsch Arztebl Int 2018 04;115(17):299-308

Department of Systems Neuroscience, University Medical Center Hamburg-Eppendorf (UKE).

Background: Headache, like dizziness, is one of the more common presenting complaints in outpatient care and in the emergency room. More than 200 varieties of headache have been described, and the false impression may arise that the diagnosis and treatment of these syndromes is a highly challenging task.

Methods: This review is based on pertinent articles retrieved by a selective search in PubMed. Read More

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http://dx.doi.org/10.3238/arztebl.2018.0299DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5974268PMC
April 2018
4 Reads

Secondary (Symptomatic) Trigeminal Autonomic Cephalalgia.

Ann Indian Acad Neurol 2018 Apr;21(Suppl 1):S57-S69

Department of Neurology, GB Pant Institute of Postgraduate Medical Education and Research, New Delhi, India.

Primary trigeminal autonomic cephalalgias (TACs) are uncommon group of headache disorders. These are defined and diagnosed by the criteria given by the International Classification of Headache Disorders 3β version. Over the past few decades, a number of secondary (symptomatic) cases have been described in the literature with headache features indistinguishable from primary TACs. Read More

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http://www.annalsofian.org/text.asp?2018/21/5/57/229731
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http://dx.doi.org/10.4103/aian.AIAN_16_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5909136PMC
April 2018
6 Reads

Functional Neuroimaging in Trigeminal Autonomic Cephalalgias.

Ann Indian Acad Neurol 2018 Apr;21(Suppl 1):S51-S56

Department of Neurology and Westgerman Headache Center, University of Duisburg-Essen, Essen, Germany.

Functional neuroimaging was able to identify key structures for the pathophysiology of trigeminal autonomic cephalalgias (TACs) including cluster headache, paroxysmal hemicrania, and short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing or cranial autonomic features and hemicrania continua. The posterior hypothalamus was the structure most consistently depicted with functional imaging in different states of disease with and without pain. Network-oriented imaging techniques such as resting-state functional resonance imaging were able to show a broader involvement of human trigeminal pain processing in the underlying pathophysiological mechanisms of the different TACs, highlighting similarities between this distinct group of primary headache disorders, while also demonstrating the differences in brain activation across these disorders. Read More

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http://dx.doi.org/10.4103/aian.AIAN_357_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5909135PMC
April 2018
7 Reads

Classification of Trigeminal Autonomic Cephalalgia: What has Changed in International Classification of Headache Disorders-3 Beta?

Authors:
K Ravishankar

Ann Indian Acad Neurol 2018 Apr;21(Suppl 1):S45-S50

The Headache and Migraine Clinic, Jaslok Hospital and Research Centre, Lilavati Hospital and Research Centre, Mumbai, Maharashtra, India.

The term "Trigeminal Autonomic Cephalalgia (TAC)" was first coined by Goadsby and Lipton[1] to include a group of relatively rare primary headache disorders characterized by moderate to severe, short-lived head pain in the trigeminal distribution with unilateral cranial parasympathetic autonomic features, such as lacrimation, rhinorrhea, conjunctival injection, eyelid edema, and ptosis. In the current International Classification of Headache Disorders (ICHD-3 beta),[2] the TAC group includes cluster headache (CH), paroxysmal hemicrania (PH), short-lasting unilateral neuralgiform headache attacks (SUNHAs) and their 2 subforms - SUNHAs with conjunctival injection and tearing (SUNCT), SUNHAs with cranial autonomic symptoms (SUNA). Hemicrania Continua (HC) is also now included in the TAC group. Read More

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http://www.annalsofian.org/text.asp?2018/21/5/45/229737
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http://dx.doi.org/10.4103/aian.AIAN_350_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5909134PMC
April 2018
4 Reads

Overview of Trigeminal Autonomic Cephalalgias: Nosologic Evolution, Diagnosis, and Management.

Ann Indian Acad Neurol 2018 Apr;21(Suppl 1):S39-S44

Department of Basic and Clinical Neuroscience, Institute of Psychiatry, Psychology and Neuroscience, Kings College London, United Kingdom.

The term trigeminal autonomic cephalalgias (TACs) encompasses four primary headache disorders - cluster headache, paroxysmal hemicrania (PH), hemicrania continua (HC), short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT)/short-lasting unilateral neuralgiform headache attacks with cranial autonomic symptoms (SUNA). All of these except HC are characterized by short-lasting headaches. HC is characterized by a continuous unilateral headache that waxes and wanes in its intensity without complete resolution. Read More

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http://dx.doi.org/10.4103/aian.AIAN_348_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5909133PMC
April 2018
19 Reads

Paroxysmal Hemicrania.

Ann Indian Acad Neurol 2018 Apr;21(Suppl 1):S16-S22

Headache Service, National Hospital for Neurology and Neurosurgery, London, UK.

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. Read More

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http://dx.doi.org/10.4103/aian.AIAN_317_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5909129PMC
April 2018
6 Reads

When Treatment Establishes Diagnosis: A Case Report of Posttraumatic Chronic Paroxysmal Hemicrania.

Headache 2018 Jun 30;58(6):894-895. Epub 2018 Apr 30.

Department of Neurology, West Virginia University, Morgantown, WV, USA.

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http://dx.doi.org/10.1111/head.13308DOI Listing
June 2018
17 Reads

Trait- and Frequency-Dependent Dysfunctional Habituation to Trigeminal Nociceptive Stimulation in Trigeminal Autonomic Cephalalgias.

J Pain 2018 09 12;19(9):1040-1048. Epub 2018 Apr 12.

IRCCS Neuromed, Pozzilli, IS, Italy; Unit of Neurorehabilitation, Department of Medical-Surgical Sciences and Biotechnologies, Sapienza University of Rome, ICOT, Latina, Italy.

We investigated whether the stimulation frequency (SF), the pain phases, and different diagnoses of trigeminal autonomic cephalalgias (TACs) may influence the habituation to pain. We studied the habituation of the nociceptive blink reflex R2 responses at different SFs (.05, . Read More

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http://dx.doi.org/10.1016/j.jpain.2018.03.015DOI Listing
September 2018
10 Reads

Therapeutic Approaches for the Management of Trigeminal Autonomic Cephalalgias.

Neurotherapeutics 2018 04;15(2):346-360

Danish Headache Centre, Department of Neurology, Rigshospitalet-Glostrup, University of Copenhagen, Copenhagen, Denmark.

Trigeminal autonomic cephalalgia (TAC) encompasses 4 unique primary headache types: cluster headache, paroxysmal hemicrania, hemicrania continua, and short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing and short-lasting unilateral neuralgiform headache attacks with cranial autonomic symptoms. They are grouped on the basis of their shared clinical features of unilateral headache of varying durations and ipsilateral cranial autonomic symptoms. The shared clinical features reflect the underlying activation of the trigeminal-autonomic reflex. Read More

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http://dx.doi.org/10.1007/s13311-018-0618-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5935647PMC
April 2018
13 Reads

Indomethacin-Responsive Paroxysmal Hemicrania in an Elderly Man: An Unusual Presentation of Pituitary Apoplexy.

Headache 2017 11 5;57(10):1624-1626. Epub 2017 Oct 5.

Department of Neurology, Rouen University Hospital, Rouen, France.

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http://dx.doi.org/10.1111/head.13201DOI Listing
November 2017
27 Reads

Occipital Nerve Stimulation for Medically Refractory Chronic Paroxysmal Hemicrania.

Headache 2017 Nov 5;57(10):1610-1613. Epub 2017 Oct 5.

Headache Group, Institute of Neurology and The National Hospital for Neurology and Neurosurgery, Queen Square, London, United Kingdom.

Objective: To describe the outcome of a patient with refractory chronic paroxysmal hemicrania (CPH) to occipital nerve stimulation (ONS).

Background: CPH is a primary headache disorder exquisitely sensitive to indomethacin. In patients unable to tolerate indomethacin, the therapeutic options are limited. Read More

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http://doi.wiley.com/10.1111/head.13187
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http://dx.doi.org/10.1111/head.13187DOI Listing
November 2017
10 Reads

The pathophysiology of the trigeminal autonomic cephalalgias, with clinical implications.

Clin Auton Res 2018 06 23;28(3):315-324. Epub 2017 Sep 23.

Department of Clinical Physiology, Nuclear Medicine and PET, Rigshospitalet-Glostrup, University of Copenhagen, Copenhagen, Denmark.

The hallmark of primary headaches belonging to the group known as the trigeminal autonomic cephalalgias is unilateral headache accompanied by cranial autonomic symptoms. Being relatively rare and poorly understood, they represent a clinical challenge, leading to underdiagnosis and undertreatment. While the headache is the most obvious and disabling symptom, it is only part of a complex symptomatology which hints at the involved pathophysiological mechanisms. Read More

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http://dx.doi.org/10.1007/s10286-017-0468-9DOI Listing
June 2018
14 Reads

Noninvasive Vagus Nerve Stimulation for Treatment of Indomethacin-Sensitive Headaches.

JAMA Neurol 2017 10;74(10):1266-1267

Headache Group-Basic & Clinical Neuroscience, King's College London, London, England.

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http://dx.doi.org/10.1001/jamaneurol.2017.2122DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5822200PMC
October 2017
6 Reads

Therapeutical approaches to paroxysmal hemicrania, hemicrania continua and short lasting unilateral neuralgiform headache attacks: a critical appraisal.

J Headache Pain 2017 Dec 20;18(1):71. Epub 2017 Jul 20.

Medical Toxicology - Headache and Drug Abuse Centre, University of Modena and Reggio Emilia, Via del Pozzo 71, 41124, Modena, Italy.

Background: 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.

Methods: A survey was performed using the pubmed database for documents published from the 1st January 1989 onwards. Read More

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https://thejournalofheadacheandpain.biomedcentral.com/articl
Publisher Site
http://dx.doi.org/10.1186/s10194-017-0777-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5519518PMC
December 2017
15 Reads

LASH: A Review of the Current Literature.

Curr Pain Headache Rep 2017 Aug;21(8):36

Mayo Clinic Arizona, Phoenix, AZ, USA.

Purpose Of Review: The purpose of this review is to evaluate and explain our current understanding of a very rare disorder, long-lasting autonomic symptoms with associated hemicranias (LASH).

Recent Findings: At present, there are four known cases in the literature of LASH. Its characteristics and reported response to indomethacin link it most closely to the trigeminal autonomic cephalalgias (TACs). Read More

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http://dx.doi.org/10.1007/s11916-017-0636-6DOI Listing
August 2017
62 Reads

Tics in TACs: A Step into an Avalanche? Systematic Literature Review and Conclusions.

Authors:
Christian Wöber

Headache 2017 Nov 19;57(10):1635-1647. Epub 2017 May 19.

Department of Neurology, Medical University of Vienna, Vienna, Austria.

Background: Trigeminal autonomic cephalalgias (TACs) comprise cluster headache, paroxysmal hemicrania, short-lasting unilateral neuralgiform headache attacks, and hemicrania continua. In some cases, trigeminal neuralgia (TN, "tic douloureux") or TN-like pain may co-occur with TACs.

Aim: This article will review the co-occurrence and overlap of TACs and tics in order to contribute to a better understanding of the issue and an improved management of the patients. Read More

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http://dx.doi.org/10.1111/head.13099DOI Listing
November 2017
12 Reads

Sphenopalatine Ganglion Block in the Management of Chronic Headaches.

Curr Pain Headache Rep 2017 06;21(6):27

Jefferson Pain Center, Department of Anesthesiology, Thomas Jefferson University Hospital, Philadelphia, PA, 19107, USA.

Purpose Of Review: Sphenopalatine ganglion (SPG) block has been used by clinicians in the treatment of a variety of headache disorders, facial pain syndromes, and other facial neuralgias. The sensory and autonomic fibers that travel through the SPG provided the scientific rationale for symptoms associated with these head and neck syndromes. Yet, despite the elucidation of this pathogenic target, the optimal method to block its pain-producing properties has not been determined. Read More

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http://dx.doi.org/10.1007/s11916-017-0626-8DOI Listing
June 2017
20 Reads

"Cough Hemicrania" - An Overlapping Form of Headache: Case Reports.

Headache 2017 May 14;57(5):796-800. Epub 2017 Apr 14.

Lisbon Faculty of Medicine and IMM, University of Lisbon, Lisbon, Portugal.

Objective: To describe two patients with recurring unilateral brief headaches that fulfilled criteria for both primary cough headache (CH) and chronic paroxysmal hemicrania (CPH).

Background: 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. Read More

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http://dx.doi.org/10.1111/head.13094DOI Listing
May 2017
8 Reads

The complex interrelations between two paroxysmal disorders: headache and epilepsy.

Neurol Sci 2017 Jun 24;38(6):941-948. Epub 2017 Mar 24.

Child and Adolescent Neuropsychiatry, Sapienza University, Rome, Italy.

The interrelations between headache/migraine and epileptic seizures are an interesting topic, still lacking a systematization, which is the objective of the present revision. We organize the general setting on: (a) a distinction between pre-ictal, ictal, post-ictal and inter-ictal headaches, assuming "ictal" as epileptic seizure, and (b) the kind of headache, if it is of migraine type or not. Concerning pre-ictal migraine/headache, the necessity of its differentiation from an epileptic headache presenting as an aura of a seizure is stressed; this is connected with the indefiniteness of the term "migralepsy". Read More

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http://dx.doi.org/10.1007/s10072-017-2926-5DOI Listing
June 2017
11 Reads

Paroxysmal Hemicrania-Like Headache Secondary to Phosphodiesterase Inhibitors Administration: A Case Report.

Headache 2017 04 11;57(4):663-664. Epub 2017 Feb 11.

Parma Headache Centre, Department of Clinical and Experimental Medicine, University of Parma, Parma, Italy.

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http://dx.doi.org/10.1111/head.13054DOI Listing
April 2017
17 Reads

Cracked tooth syndrome mimicking trigeminal autonomic cephalalgia: A report of four cases.

Quintessence Int 2017 ;48(4):329-337

Background: This report describes four cases of cracked tooth syndrome secondary to traumatic occlusion that mimicked trigeminal autonomic cephalalgias. All patients were referred by general practitioners to the Orofacial Pain Clinic at Nihon University Dental School for assessment of atypical facial pain.

Clinical Presentation: Case 1: A 51-year-old woman presented with severe pain in the maxillary and mandibular left molars. Read More

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http://dx.doi.org/10.3290/j.qi.a37688DOI Listing
October 2018
29 Reads

The Rare Painful Phenomena - Chronic Paroxysmal Hemicrania-tic Syndrome as a Clinically Isolated Syndrome of the Central Nervous System.

Pain Physician 2017 02;20(2):E315-E322

Faculty of Medicine, University of Nis, Nis, Serbia; Clinic for Neurology, Clinical Centre of Nis, Nis, Serbia.

The association of paroxysmal hemicrania with trigeminal neuralgia (TN) has been described and called paroxysmal hemicrania-tic syndrome (PH-tic). We report the case of a patient diagnosed as having chronic PH-tic (CPH-tic) syndrome as a clinically isolated syndrome of the central nervous system (CNS) (CIS).A forty year old woman was admitted to our hospital suffering from right facial pain for the last 2 years. Read More

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February 2017
15 Reads

O043. Frequency-dependent habituation deficit of the nociceptive blink reflex in cluster headache and paroxysmal hemicrania.

J Headache Pain 2015 Dec;16(Suppl 1):A91

Department of Medical and Surgical Sciences and Biotechnologies, "Sapienza" University of Rome Polo Pontino, Rome, Italy.

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http://dx.doi.org/10.1186/1129-2377-16-S1-A91DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4759146PMC
December 2015
13 Reads

Chronic paroxysmal headache secondary to an orbital metastatic leiomyosarcoma: A case report.

Cephalalgia 2018 02 6;38(2):389-392. Epub 2017 Jan 6.

Department of Neurology, Neuroscience Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Background Intraorbital lesions associated with symptomatic trigeminal autonomic cephalalgias (TACs) are rarely reported. We present a case of orbital metastatic leiomyosarcoma, presenting with chronic paroxysmal hemicrania-like headache. Case report A 43-year-old man presented with a severe paroxysmal headache in his left periocular and frontal area for a year. Read More

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http://dx.doi.org/10.1177/0333102416687538DOI Listing
February 2018
18 Reads

Management of children and young people with headache.

Arch Dis Child Educ Pract Ed 2017 Apr 20;102(2):58-65. Epub 2016 Dec 20.

Department of Paediatric Neurology, Birmingham Children's Hospital, Birmingham, UK.

Headache is very common in children and young people. The correct advice and treatment requires consideration of a wide differential diagnosis between primary and secondary headaches, and also of the different types of primary headache. The International Classification of Headache Disorders gives useful descriptions and diagnostic criteria that are especially useful for primary headaches. Read More

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http://ep.bmj.com/lookup/doi/10.1136/archdischild-2016-31180
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http://dx.doi.org/10.1136/archdischild-2016-311803DOI Listing
April 2017
24 Reads

Hemicrania Continua-Like Headache Related to Transdermal Nitroglycerine Therapy.

Headache 2017 Mar 9;57(3):494-496. Epub 2016 Dec 9.

Headache Centre, Department of Neurosciences, Padua University, Padua, Italy.

Several cases of symptomatic hemicrania continua (HC) have been reported. A 66-year-old man, suffering from migraine without aura, presented with a four month history of a new headache fulfilling the ICHD 3beta clinical criteria for HC. HC onset was strictly related to the use of transdermal nitroglycerine patch (TNP). Read More

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http://dx.doi.org/10.1111/head.13004DOI Listing
March 2017
11 Reads

Side-locked headaches: an algorithm-based approach.

J Headache Pain 2016 Dec 21;17(1):95. Epub 2016 Oct 21.

Department of Neurology, Smt. B. K. Shah Medical institute and research Centre, Sumandeep Vidyapeeth, Piparia, Waghodia, Vadodara, 391760, Gujarat, India.

The differential diagnosis of strictly unilateral hemicranial pain includes a large number of primary and secondary headaches and cranial neuropathies. It may arise from both intracranial and extracranial structures such as cranium, neck, vessels, eyes, ears, nose, sinuses, teeth, mouth, and the other facial or cervical structure. Available data suggest that about two-third patients with side-locked headache visiting neurology or headache clinics have primary headaches. Read More

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http://dx.doi.org/10.1186/s10194-016-0687-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5074931PMC
December 2016
17 Reads

The anterior hypothalamus in cluster headache.

Cephalalgia 2017 Oct 16;37(11):1039-1050. Epub 2016 Aug 16.

1 Department of Radiology, Leiden University Medical Center, Leiden, The Netherlands.

Objective To evaluate the presence, localization, and specificity of structural hypothalamic and whole brain changes in cluster headache and chronic paroxysmal hemicrania (CPH). Methods We compared T1-weighted magnetic resonance images of subjects with cluster headache (episodic n = 24; chronic n = 23; probable n = 14), CPH ( n = 9), migraine (with aura n = 14; without aura n = 19), and no headache ( n = 48). We applied whole brain voxel-based morphometry (VBM) using two complementary methods to analyze structural changes in the hypothalamus: region-of-interest analyses in whole brain VBM, and manual segmentation of the hypothalamus to calculate volumes. Read More

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http://dx.doi.org/10.1177/0333102416660550DOI Listing
October 2017
46 Reads

Short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing-like attacks in a pediatric patient found to have a pontine capillary telangiectasia and developmental venous anomaly: A case report exploring the root of the problem.

Cephalalgia 2017 Oct 24;37(11):1093-1097. Epub 2016 Jun 24.

1 Department of Pediatric Neurology, University of Alberta, Edmonton, AB, Canada.

Introduction Short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT)-like attacks are rarely reported in the pediatric population and may remain undiagnosed and under-investigated as a result. Case presentation We present a case of a 15-year-old male with intermittent, episodic, right-sided brief headaches most in keeping with SUNCT, initially diagnosed as paroxysmal hemicrania, but with no response to indomethacin. The pain was likewise not responsive to typical migraine treatments or steroids. Read More

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http://dx.doi.org/10.1177/0333102416657148DOI Listing
October 2017
111 Reads

Alcohol-induced headaches: Evidence for a central mechanism?

J Neurosci Rural Pract 2016 Apr-Jun;7(2):269-75

Department of Neurology, Headache Center, San Giuseppe Hospital, Empoli, FI, Italy.

Alcoholic drinks (ADs) have been reported as a migraine trigger in about one-third of the migraine patients in retrospective studies. Some studies found that ADs trigger also other primary headaches. The studies concerning the role of ADs in triggering various types of primary headaches published after the International Headache Society classification criteria of 1988 were reviewed, and the pathophysiological mechanisms were discussed. Read More

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http://dx.doi.org/10.4103/0976-3147.178654DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4821937PMC
April 2016
17 Reads

Trigeminal autonomic cephalalgia as a presenting feature of Neuromyelitis Optica: "A rare combination of two uncommon disorders".

Mult Scler Relat Disord 2016 Mar 4;6:73-74. Epub 2016 Feb 4.

St.John's Medical College and Hospital, India. Electronic address:

Neuromyelitis Optica (NMO) can have atypical presentations like hiccups, vomiting, etc. which is classically described as the area postrema syndrome. Here we report a case of a 39 year old male patient who presented with features of Trigeminal Autonomic Cephalalgia (TAC). Read More

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http://dx.doi.org/10.1016/j.msard.2016.01.006DOI Listing
March 2016
19 Reads

Linear headache: clinical characteristics of eight new cases.

Springerplus 2016 18;5:347. Epub 2016 Mar 18.

Department of Neurology, Epilepsy and Headache Group, the First Affiliated Hospital of Anhui Medical University, Jixi Road 218, Hefei, 230022 China.

Background: Linear headache (LH) has recently been described as a paroxysmal or continuous fixed head pain restricted in a linear trajectory of 5-10 mm in width, linking one endpoint in occipital or occipitocervical region with another endpoint in ipsilateral nasion or forehead region. For some patients, this headache had some features resembling migraine without aura.

Methods: We made a prospective search of patients presenting with a clinical picture comprised under the heading of LH and we have accessed eight new cases. Read More

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http://dx.doi.org/10.1186/s40064-016-1991-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4799045PMC
April 2016
39 Reads

Coexistence of contralateral cluster headache and probable paroxysmal hemicrania: a case report.

Springerplus 2016 31;5:396. Epub 2016 Mar 31.

Neurology Section, Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Viale dell'Università 30, 00186 Rome, Italy.

Introduction: 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.

Case Description: A 50 years old working man complained, at the end of his cluster period, a new TAC, fitting the criteria for probable paroxysmal hemicrania. Read More

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http://dx.doi.org/10.1186/s40064-016-2000-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4816941PMC
April 2016
8 Reads

Can paroxysmal hemicrania be bilateral? A case report.

Neurol Sci 2016 Aug 29;37(8):1377-8. Epub 2016 Mar 29.

Department of Neurology, Duzce University School of Medicine, Konuralp, Duzce, Turkey.

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http://dx.doi.org/10.1007/s10072-016-2560-7DOI Listing
August 2016
10 Reads

Trigeminal Autonomic Cephalalgias in Children and Adolescents: Cluster Headache and Related Conditions.

Semin Pediatr Neurol 2016 Feb 14;23(1):23-6. Epub 2015 Aug 14.

University of California, San Francisco, CA; NIHR-Wellcome Trust Clinical Research Facility, Kings College, London, UK.

Cluster headache is a primary headache disorder that can occur in children and adolescents, and is a member of the broader diagnostic group of trigeminal autonomic cephalalgias. It is characterized by repeated attacks typically lasting between 15 and 180 minutes of severe unilateral side-locked headache with cranial autonomic features. Acute treatment of the cluster attack can include the use of triptans or high-flow oxygen. Read More

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http://dx.doi.org/10.1016/j.spen.2015.08.002DOI Listing
February 2016
13 Reads