Hemicrania continua evolving from episodic paroxysmal hemicrania.
A 45-year-old woman, who had been diagnosed in our unit with episodic paroxysmal hemicrania, was seen 2 years later for ipsilateral hemicrania continua in remitting form. Both types of headache had a complete response to indomethacin and did not occur simultaneously. The patient had a previous history of episodic moderate headaches that met criteria for probable migraine without aura and also had a family history of headache. The clinical course in this case suggests a pathogenic relationship between both types of primary headache.
Castellanos-Pinedo
F
F
Department of Neurology, Hospital Virgen del Puerto, Plasencia, Spain. fernando.castellanos@ya.com
Zurdo
M
M
Martínez-Acebes
E
E
D000328:Adult; D018450:Disease Progression; D005260:Female; D006801:Humans; D007213:Indomethacin / Q000627:therapeutic use; D051302:Paroxysmal Hemicrania / Q000145:classification* / Q000175:diagnosis* / Q000188:drug therapy; D016896:Treatment Outcome
D007213:Indomethacin