• J Headache Pain · Jan 2015

    Case Reports

    Hemicrania continua with contralateral cranial autonomic features: a case report.

    • Sanjay Prakash, Chaturbhuj Rathore, and Prayag Makwana.
    • Department of Neurology, Smt B. K. Shah Medical institute and research Centre Medical College, Piperia, Waghodia, Vadodara, Gujarat, 391760, India. drprakashs@yahoo.co.in.
    • J Headache Pain. 2015 Jan 1;16:21.

    BackgroundHemicrania continua is characterized by continuous strictly unilateral head pain with episodic exacerbations. Episodic exacerbations are associated with ipsilateral cranial autonomic features.Case DescriptionWe report a 24-year female with a 2-year history of continuous right-sided headache with superimposed exacerbations. Episodic exacerbations were associated with marked agitation and contralateral cranial autonomic features. The patient showed a complete response to indomethacin within 8 hours.DiscussionThe dichotomy of pain and autonomic features is in accordance with the concept about the possibility of two separate pathways for pain and autonomic features in trigeminal autonomic cephalalgias.

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