title: Hemicrania continua with contralateral cranial autonomic features: a case report.
abstract: BACKGROUND
  Hemicrania continua is characterized by continuous strictly unilateral head pain with episodic exacerbations. Episodic exacerbations are associated with ipsilateral cranial autonomic features.
  
  
  METHODS
  We report a 24-year female with a 2-year history of continuous right-sided headache with superimposed exacerbations. Episodic exacerbations were associated with marked agitation and contralateral cranial autonomic features. The patient showed a complete response to indomethacin within 8 hours.
  
  
  CONCLUSIONS
  The dichotomy of pain and autonomic features is in accordance with the concept about the possibility of two separate pathways for pain and autonomic features in trigeminal autonomic cephalalgias.
authors.affiliation: Department of Neurology, Smt B. K. Shah Medical institute and research Centre Medical College, Piperia, Waghodia, Vadodara, Gujarat, 391760, India. drprakashs@yahoo.co.in.
authors.forename: Sanjay
authors.initials: S
authors.lastname: Prakash
authors.affiliation: Department of Neurology, Smt B. K. Shah Medical institute and research Centre Medical College, Piperia, Waghodia, Vadodara, Gujarat, 391760, India. cbrathore@rediffmail.com.
authors.forename: Chaturbhuj
authors.initials: C
authors.lastname: Rathore
authors.affiliation: Department of Neurology, Smt B. K. Shah Medical institute and research Centre Medical College, Piperia, Waghodia, Vadodara, Gujarat, 391760, India. sumanbaroda32@gmail.com.
authors.forename: Prayag
authors.initials: P
authors.lastname: Makwana
mesh_terms: D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use*; D001341:Autonomic Nervous System / Q000503:physiopathology*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007213:Indomethacin / Q000627:therapeutic use*; D008881:Migraine Disorders / Q000150:complications* / Q000188:drug therapy / Q000503:physiopathology; D016896:Treatment Outcome; D051303:Trigeminal Autonomic Cephalalgias / Q000150:complications* / Q000188:drug therapy / Q000503:physiopathology; D055815:Young Adult
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal; D007213:Indomethacin