[Episodic ++paroxysmal hemicrania or chronic paroxysmal hemicrania in pre-chronic state?].
Two women suffered from strictly unilateral, periocular headaches for many years. The clinical characteristics of headaches were those described in chronic paroxysmal hemicrania. However, both patients showed an episodic evolution of pain. In one case, this stage could be considered pre-chronic because it was later followed by the classic and apparently definitive chronic period of the disorder. In the second case the episodic stage persisted all along the evolution of the disease and the headache did not reach the chronic period. The patient has been free of pain without treatment for the last three years. This second observation can be considered as an example of episodic paroxysmal hemicrania. In the episodic cases the response of pain to indomethacin can be difficult to be ascertained.
Servicio de Neurología, Hospital Universitario Virgen del Rocío, Sevilla.
R
R
Alberca
B
B
Sureda
C
C
Márquez
A
A
Navarro
D000328:Adult; D002908:Chronic Disease; D005260:Female; D006801:Humans; D008875:Middle Aged; D008881:Migraine Disorders / Q000503:physiopathology*
Hemicrania paroxística episódica o hemicrania crónica paroxística en estadio precrónico?