Extratrigeminal Episodic Paroxysmal Hemicrania. Further Clinical Evidence of Functionally Relevant Brain Stem Connections
Article first published online: 31 MAY 2002
Headache: The Journal of Head and Face Pain
Volume 38, Issue 10, pages 794–798, November 1998
How to Cite
Dodick, D. W. (1998), Extratrigeminal Episodic Paroxysmal Hemicrania. Further Clinical Evidence of Functionally Relevant Brain Stem Connections. Headache: The Journal of Head and Face Pain, 38: 794–798. doi: 10.1046/j.1526-4610.1998.3810794.x
- Issue published online: 31 MAY 2002
- Article first published online: 31 MAY 2002
- Accepted for publication March 5, 1998.
- episodic paroxysmal hemicrania;
- trigeminal-autonomic cephalalgia
A woman, aged 59 years, developed a constant, left, occipital headache associated with episodes of discrete exacerbations occurring three to five times daily for 3 days, each lasting 15 to 20 minutes, and associated with left ptosis, conjunctival injection, and redness of the left ear. Pain-free remissions, which usually lasted 2 weeks, ceased after a mild neck injury, but the headaches responded promptly to indomethacin.
This case, illustrating a transition from an occipital episodic to chronic paroxysmal hemicrania, is discussed as a variation of the trigeminal-autonomic cephalalgias.