title: Hemicrania continua-like headache associated with internal carotid artery dissection may respond to indomethacin.
abstract: Hemicrania continua (HC) is an idiopathic, chronic disorder characterized by a continuous, strictly unilateral headache associated with ipsilateral cranial autonomic symptoms. The symptoms of HC typically respond dramatically to indomethacin therapy. We describe a patient with traumatic internal carotid artery dissection, who presented with a clinical picture mimicking HC that initially responded to indomethacin. Patients with a clinical picture similar to HC should be managed with a high index of suspicion for a possible cervical arterial dissection.
authors.affiliation: Department of Neurology, Thomas Jefferson University Hospital, Philadelphia, PA 19107, USA.
authors.forename: Avi
authors.initials: A
authors.lastname: Ashkenazi
authors.forename: Muhammad A
authors.initials: MA
authors.lastname: Abbas
authors.forename: Dinesh K
authors.initials: DK
authors.lastname: Sharma
authors.forename: Stephen D
authors.initials: SD
authors.lastname: Silberstein
mesh_terms: D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use*; D020215:Carotid Artery, Internal, Dissection / Q000150:complications* / Q000175:diagnosis*; D005260:Female; D006801:Humans; D007213:Indomethacin / Q000627:therapeutic use*; D018810:Magnetic Resonance Angiography; D008875:Middle Aged; D008881:Migraine Disorders / Q000188:drug therapy* / Q000209:etiology*
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal; D007213:Indomethacin