Episodic Paroxysmal Hemicrania with an Atypical Clinical Presentation: A Case Report and Review of the Literature


Kaplan Y., KAMIŞLI Ö. , ALTINAYAR S.

TURKISH JOURNAL OF NEUROLOGY, vol.21, no.2, pp.71-73, 2015 (Journal Indexed in ESCI) identifier identifier

  • Publication Type: Article / Review
  • Volume: 21 Issue: 2
  • Publication Date: 2015
  • Doi Number: 10.4274/tnd.02439
  • Title of Journal : TURKISH JOURNAL OF NEUROLOGY
  • Page Numbers: pp.71-73

Abstract

Paroxysmal hemicrania (PH) is characterized by frequent, short-lasting, severe, unilateral headaches that occur in association with cranial autonomic features. The hallmarks of this syndrome are relatively short attacks and a complete therapeutic response to indomethacin. Although PH has been classified as strictly unilateral headache in association with cranial autonomic features, a few cases have been reported that suggest bilateral PH. We report a case of PH with bilateral distribution and bilateral autonomic features. PH may actually represent a clinical spectrum including different phenotypes.