Chronic paroxysmal hemicrania presenting as toothache.
Chronic paroxysmal hemicrania is an intermittent head-pain problem that is characterized by pain paroxysms lasting about 15 minutes. The attacks usually produce pain in the frontotemporal region and are responsive to indomethacin. A set of symptoms that defines chronic paroxysmal hemicrania is presented, and two cases in which the presenting symptom was toothache are reported. It is emphasized that clinicians should consider chronic paroxysmal hemicrania in the differential diagnosis of orofacial pain.
Delcanho
R E
RE
Section of Orofacial Pain, UCLA School of Dentistry, Los Angeles, California 90024.
Graff-Radford
S B
SB
D000368:Aged; D002908:Chronic Disease; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007213:Indomethacin / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D008881:Migraine Disorders / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D014098:Toothache / Q000175:diagnosis* / Q000209:etiology*
D007213:Indomethacin