title: Chronic paroxysmal hemicrania in a 3-year, 10-month-old female.
abstract: This is the report of a 3-year, 10-month-old female with classical symptoms of chronic paroxysmal hemicrania and favorable response to indomethacin therapy. The patient was admitted because of frequent episodes of severe unilateral headaches during the day and nighttime as well as agitation. During the episodes, she complained of severe pains on the left orbital and supraorbital region. Subsequent lacrimation from the left eye was also documented. Initially, focal epileptic attack was diagnosed and during the following 10 months several antiepileptic drugs were used without effect. After 10 months, chronic paroxysmal hemicrania was diagnosed because of the typical symptoms along with a favorable response to indomethacin therapy.
authors.affiliation: Pediatric Neurology Unit, Children's Clinic of Tartu University Hospital, Tartu, Estonia. inga.talvik@kliinikum.ee
authors.forename: Inga
authors.initials: I
authors.lastname: Talvik
authors.forename: Kadri
authors.initials: K
authors.lastname: Koch
authors.forename: Anneli
authors.initials: A
authors.lastname: Kolk
authors.forename: Tiina
authors.initials: T
authors.lastname: Talvik
mesh_terms: D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D002675:Child, Preschool; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007213:Indomethacin / Q000627:therapeutic use; D051302:Paroxysmal Hemicrania / Q000175:diagnosis* / Q000188:drug therapy / Q000235:genetics; D016896:Treatment Outcome
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal; D007213:Indomethacin