• J Headache Pain · Jan 2015

    Case Reports

    Postoperative hemicrania continua-like headache - a case series.

    • Andreas R Gantenbein, Hakan Sarikaya, Franz Riederer, and Peter J Goadsby.
    • Neurorehabilitation, RehaClinic Bad Zurzach, Bad Zurzach, Switzerland, a.gantenbein@rehaclinic.ch.
    • J Headache Pain. 2015 Jan 1;16:526.

    BackgroundHemicrania continua (HC) is a rare chronic headache disorder, typically accompanied by cranial autonomic features and responding to therapeutic doses of indomethacin. The pathophysiology of hemicrania continua is not fully understood.FindingsWe report a series of three patients who developed a continuous hemicranial headache after cranial surgery. Each case presented a similar phenotype of continuous half-sided headache, cranial autonomic symptoms with exacerbations (2/3), and a response to indomethacin.ConclusionThe biology of hemicrania continua may be activated post-craniotomy just as can be seen with other primary headache disorders.

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