Abstract:
:Paroxysmal hemicrania (PH) is an underreported and underdiagnosed primary headache disorder. It usually begins in the third or fourth decade of life. The recent observations indicate that it is equally prevalent in both males and females. PH is characterized by severe, strictly unilateral head pain attacks that occur in association with ipsilateral autonomic features. The attacks in PH are shorter and more frequent compared with cluster headache (CH) but otherwise PH and CH have similar clinical features. The hallmark of PH is the absolute cessation of the headache with indomethacin. However, a range of drugs may show partial to complete relief in certain groups of patients. Neuromodulatory procedures, such as greater occipital nerve blockade, blockade of sphenopalatine ganglion and neurostimulation of the posterior hypothalamus, are reserved for refractory PH.
journal_name
Curr Pain Headache Repjournal_title
Current pain and headache reportsauthors
Prakash S,Patell Rdoi
10.1007/s11916-014-0407-6subject
Has Abstractpub_date
2014-04-01 00:00:00pages
407issue
4eissn
1531-3433issn
1534-3081journal_volume
18pub_type
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