title: Relapsing remitting hypnic headache responsive to indomethacin in an adolescent: a case report.
abstract: Hypnic headache (HH) is a rare sleep-associated primary headache disorder that usually begins after the age of 60 years. Here we report a 19-year-old male with 4-year history of predominantly left sided HH. He is the youngest person reported who fulfills the IHS diagnostic criteria for HH. The patient had history of relapsing-remitting course. The headache occurred every night at a constant time in each relapse. It was non-throbbing, moderate to severe, for 30 min to 5 h, and usually after 3 h of sleep. The patient showed complete response to indomethacin (75 mg at bedtime). Frequent tapering of indomethacin was required to look for the remission phase.
authors.affiliation: Department of Neurology, Medical College, SSG Hospital, Baroda, Gujarat, India. drprakashs@yahoo.co.in
authors.forename: Sanjay
authors.initials: S
authors.lastname: Prakash
authors.forename: Ajay S
authors.initials: AS
authors.lastname: Dabhi
mesh_terms: D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use*; D051270:Headache Disorders, Primary / Q000188:drug therapy*; D006801:Humans; D007213:Indomethacin / Q000627:therapeutic use*; D008297:Male; D055815:Young Adult
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal; D007213:Indomethacin