Trigeminal neuralgia with chronic paroxysmal hemicrania: the CPH-tic syndrome

A case of chronic paroxysmal hemicrania-tic syndrome is described. The chronic paroxysmal hemicrania (CPH) was controlled with indomethacin and the trigeminal neuralgia with a glycerol blockade. The trigeminal neuralgia reappeared four years after the blockade and was then treated successfully with corticosteroids. Six months later, when indomethacin was stopped, the trigeminal neuralgia recurred and resolved again with corticosteroids. We suggest that the CPH-tic syndrome is due to periorbital venous vasculitis. To our knowledge this is the first reported case of this disorder.