Hypnic headache syndrome: a case with good response to indomethacin


V Ivañez, Neurology Department, Hospital La Paz, Universidad Autonoma, Paseo de la Castellana 261, 28046 Madrid, Spain. Tel. +34 358 48 35/358 05 52, fax.+34 358 48 35, e-mail. neuro.hpaz@anita.es.


Hypnic headache syndrome is a rare benign disorder which occurs in the elderly. It presents as a holocephalic or, less frequently, hemicranial headache during night sleep, lasting between 20 and 180 min; it is not associated with autonomic signs and responds well to lithium carbonate. We report a new case which responded well to indomethacin, and suggest that indomethacin may be used as an alternative treatment in this rare headache syndrome of the elderly.