Different forms of trigeminal autonomic cephalalgias in the same patient: description of a case.
The trigeminal autonomic cephalalgias (TACs), including cluster headache, paroxysmal hemicrania and SUNCT, are characterized by the cardinal combination of short-lasting unilateral pain and autonomic phenomena affecting the head. Hemicrania continua (HC) shares many clinical characteristics with TACs, including unilateral pain and ipsilateral autonomic features. Nevertheless, HC is separately classified in the revised International Classification of Headache Disorders (ICHD-II). Here, we describe the case of a 45-year-old man presenting an unusual concurrence of different forms of primary headaches associated with autonomic signs, including subsequently ipsilateral cluster headache, SUNCT and HC. This report supports the theory that common mechanisms could be involved in pathophysiology of different primary headache syndromes.
Cosentino
Giuseppe
G
Dipartimento di Biomedicina Sperimentale e Neuroscienze Cliniche (BioNeC), University of Palermo, Via G La Loggia 1, 90129 Palermo, Italy.
Fierro
Brigida
B
Puma
Angela Rita
AR
Talamanca
Simona
S
Brighina
Filippo
F
D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D000927:Anticonvulsants / Q000627:therapeutic use; D001341:Autonomic Nervous System / Q000503:physiopathology; D002536:Cerebral Arteries / Q000294:innervation / Q000503:physiopathology; D003027:Cluster Headache / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology*; D003937:Diagnosis, Differential; D006261:Headache / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D050798:SUNCT Syndrome / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology*; D016896:Treatment Outcome; D051303:Trigeminal Autonomic Cephalalgias / Q000175:diagnosis / Q000503:physiopathology*; D014276:Trigeminal Nerve / Q000503:physiopathology
D000894:Anti-Inflammatory Agents, Non-Steroidal; D000927:Anticonvulsants