"Hemicrania continua": another headache absolutely responsive to indomethacin |
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Authors: | Ottar Sjaastad Egilius LH Spierings |
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Institution: | Department of Neurology, Regionsykehuset, Trondheim University Hospital, Trondheim, Norway;;Department of Neurology, University Hospital "Dijkzigt", 3015 GD Rotterdam, The Netherlands |
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Abstract: | Two cases suffering from a headache apparently at variance with well recognized headaches are described. It is characterized by a steady, non-paroxysmal, probably severe to moderately severe hemicrania localized anteriorly or anteroposteriorly and is not associated with nausea. Indomethacin exerts an absolute, persistent and clearly dose-dependent effect on this headache, which differs from unilateral headache syndromes such as cluster headache and cervicogenic headache in its temporal pattern and indomethacin response. It differs from chronic paroxysmal hemicrania in its temporal pattern and in the lack of accompanying symptoms. |
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