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Episodic Paroxysmal Hemicrania: 3 New Cases and a Review of the Literature

Authors

  • Lawrence C. Newman M.D.,

    Corresponding author
    1. From the Department of Neurology, The Albert Einstein College of Medicine, Bronx, NY
    2. The Montefiora Medical Center Headache Unit, Bronx, NY
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  • Richard B. Lipton M.D.,

    1. From the Department of Neurology, The Albert Einstein College of Medicine, Bronx, NY
    2. The Montefiora Medical Center Headache Unit, Bronx, NY
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  • Seymour Solomon M.D.

    1. From the Department of Neurology, The Albert Einstein College of Medicine, Bronx, NY
    2. The Montefiora Medical Center Headache Unit, Bronx, NY
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Lawrence C. Newman, M.D., 111 East 210th Street, Bronx, NY 10467

Abstract

SYNOPSIS

Episodic paroxysmal hemicrania (EPH) is a rare, benign disorder characterized by discrete bouts of hemicranial headaches separated by periods of pain-free remissions. EPH is frequently mistaken for episodic cluster headache because they have similar temporal profiles and clinical features. EPH is differentiated from cluster headaches by an increased frequency and a shorter duration of individual attacks. Establishing the diagnosis of EPH is important because of its unique response to treatment with indomethacin and not standard anti-cluster headache medications.

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