Extratrigeminal episodic paroxysmal hemicrania. Further clinical evidence of functionally relevant brain stem connections.
A woman, aged 59 years, developed a constant, left, occipital headache associated with episodes of discrete exacerbations occurring three to five times daily for 3 days, each lasting 15 to 20 minutes, and associated with left ptosis, conjunctival injection, and redness of the left ear. Pain-free remissions, which usually lasted 2 weeks, ceased after a mild neck injury, but the headaches responded promptly to indomethacin. This case, illustrating a transition from an occipital episodic to chronic paroxysmal hemicrania, is discussed as a variation of the trigeminal-autonomic cephalalgias.
Department of Neurology, Mayo Clinic, 200 First Street, SW, Rochester, MN 55905, USA.
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Dodick
D005260:Female; D006801:Humans; D007213:Indomethacin / Q000627:therapeutic use; D008875:Middle Aged; D008881:Migraine Disorders / Q000150:complications* / Q000188:drug therapy / Q000503:physiopathology; D014653:Vascular Headaches / Q000209:etiology*
D007213:Indomethacin