[Neuralgiform paroxysmal migraine].
A 23-year-old woman presented with episodic, strictly unilateral, left-sided headaches of excruciating severity. Pain was referred to the eye, lasted from seconds to a minute and was accompanied by homolateral ptosis, redness of the eye, increased lacrimation and nasal discharge. The attacks of pain repeated up to seven times over 24 hours and clustered around ovulation for seven days a month. After she became pregnant, the attacks increased in frequency and appeared every five to ten minutes during night and day. Different medical treatments including indomethacin, were without effect. Two months later pregnancy was interrupted and the pain immediately subsided. After carotid angiography the pain reappeared for two months, but it finally disappeared and she has been free of pain without treatment for the last nine months. This syndrome can be related to episodic paroxysmal hemicrania.
Alberca
R
R
Servicios de Neurología, Hospital Universitario Virgen del Rocío, Sevilla.
Márquez
C
C
Vila
M J
MJ
D000028:Abortion, Induced; D000328:Adult; D002533:Cerebral Angiography / Q000009:adverse effects; D003027:Cluster Headache / Q000175:diagnosis; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007213:Indomethacin / Q000627:therapeutic use; D008881:Migraine Disorders / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D010060:Ovulation; D011247:Pregnancy; D011248:Pregnancy Complications; D014277:Trigeminal Neuralgia / Q000175:diagnosis*
D007213:Indomethacin
Hemicrania paroxística neuralgiforme.