| Secondary hemicrania continua: Case reports and a literature review. | |
| | |
MedLine Citation:
|
PMID: 19215945 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Hemicrania continua (HC) is an indomethacin responsive primary headache disorder. Secondary or symptomatic HC is associated with another neurological or non-neurological disease. We report three patients with secondary HC. We also review the literature to identify the clinical predictors of an underlying disease entity. Intracranial structural lesion, head and neck vessel pathology, and carcinoma lung should be suspected in every patient. The factors that may suggest a secondary pathology are: elderly age, male sex, smoking habit, constitutional symptoms, symptoms related to respiratory system, frequent and short-lived exacerbation, nocturnal exacerbation, HC evolving from remitting form, recent neck and/or head trauma, miosis, elevated ESR, and fading effect of indomethacin. We recommend MRI brain in all the patients presenting with HC or HC like headache. Angiography and CT chest are two other investigations that may be supplemented in patients with high risk for head/neck vessel pathology and carcinoma lung. |
| | |
Authors:
|
Sanjay Prakash; Nilima D Shah; Ritu Kanchan Soni |
Related Documents
:
|
2294695 - Giant cell myocarditis associated with silicone. an unusual case of biomaterials pathol... 1222325 - Adreno-leukodystrophy with microphthalmia. a condition marked by general organ hypoplasia. 1857615 - Acoustic reflex measures in audiologic evaluation. 16707375 - Measuring the value of review of pathology material by a second pathologist. 10636585 - Primary synovial sarcoma of the penis--case report and literature review. 21684215 - Steroid-induced hallucination following intra-articular administration: a case report a... |
Publication Detail:
|
Type: Case Reports; Journal Article; Review Date: 2009-02-12 |
Journal Detail:
|
Title: Journal of the neurological sciences Volume: 280 ISSN: 1878-5883 ISO Abbreviation: J. Neurol. Sci. Publication Date: 2009 May |
Date Detail:
|
Created Date: 2009-04-06 Completed Date: 2009-08-10 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0375403 Medline TA: J Neurol Sci Country: Netherlands |
Other Details:
|
Languages: eng Pagination: 29-34 Citation Subset: IM |
Affiliation:
|
Department of Neurology, Medical College, Baroda, Gujarat 390001, India. drprakashs@yahoo.co.in |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Age Factors Aged Anti-Inflammatory Agents, Non-Steroidal / therapeutic use Blood Sedimentation Brain / pathology Craniocerebral Trauma / complications Diagnosis, Differential Female Headache Disorders, Secondary / diagnosis*, drug therapy, physiopathology* Humans Indomethacin / therapeutic use Male Middle Aged Miosis / complications Risk Factors Sex Factors Smoking |
| Chemical | |
Reg. No./Substance:
|
0/Anti-Inflammatory Agents, Non-Steroidal; 53-86-1/Indomethacin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Monitoring Fibrosis of the Pancreatic Remnant After a Pancreaticoduodenectomy With Dynamic MRI.
Next Document: The function of the extraocular muscles, the theory of the coplanarity of the fixation planes.