title: Short-lasting unilateral neuralgiform headache with autonomic symptoms syndrome as the initial manifestation of idiopathic hypertrophic cranial pachymeningitis.
abstract: This is the first report of 2 patients presenting with short-lasting unilateral neuralgiform headache with autonomic symptoms as the initial manifestation of idiopathic hypertrophic cranial pachymeningitis. They both had acute retro-orbital pain ipsilateral to the dural thickening on magnetic resonance imaging of brain, and one had transient miosis as an additional parasympathetic feature. Short-lasting unilateral neuralgiform headache with autonomic symptoms syndrome may be associated with secondary central nervous system pathology, and neuroimaging should be considered in all patients with trigeminal autonomic cephalalgia.
authors.affiliation: Department of Medicine, Division of Neurology, University of Nevada School of Medicine, Reno, NV 89502, USA. worjun@aol.com
authors.forename: Jane W
authors.initials: JW
authors.lastname: Chan
mesh_terms: D001342:Autonomic Nervous System Diseases / Q000150:complications*; D003389:Cranial Nerve Diseases / Q000503:physiopathology*; D006261:Headache / Q000150:complications*; D006801:Humans; D008297:Male; D008581:Meningitis / Q000503:physiopathology*; D008875:Middle Aged