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Journal ArticleDOI

Hemicrania continua secondary to an ipsilateral brainstem lesion.

TLDR
A 47‐year‐old woman with a 3‐year history of a continuum mild‐moderate right‐side headache, with exacerbations, associated with stabbing volleys of pain on right orbit‐temporal region and right eye ptosis and lacrimation with conjunctival injection is described.
Abstract
We describe a 47-year-old woman with a 3-year history of a continuum mild-moderate right-side headache, with exacerbations, associated with stabbing volleys of pain on right orbit-temporal region (10/10) and right eye ptosis and lacrimation with conjunctival injection. The pain was completely abolished with indomethacin (100 mg per day). The diagnosis of hemicrania continua was made according to the International Headache Society (IHS) criteria. The headache presentation was precipitated by a stroke and a right-side brainstem lesion was present at magnetic resonance imaging. This case report shows anatomoclinical evidence of the involvement of brainstem structures on the pathophysiology of hemicrania continua.

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Journal ArticleDOI

Hemicrania continua: a clinical study of 39 patients with diagnostic implications

TL;DR: The International Headache Society criteria should be revised to remove the absence of side-shift pain as a criterion and encompass a more extensive range of cranial autonomic features and consider pain as fluctuating with moderate, severe and very severe intensity.
Journal ArticleDOI

Efficacy of Folic Acid in Children With Migraine, Hyperhomocysteinemia and MTHFR Polymorphisms

TL;DR: It is believed that the use of folic acid needs further investigations in migraineurs with hyperhomocysteinemia and MTHFR variants and that the mechanism leading to these effects has been not made clear.
Journal ArticleDOI

Hemicrania continua: who responds to indomethacin?

TL;DR: The two groups of patients with unilateral headache suggestive of HC did not respond to indomethacin did not differ significantly in terms of age, sex, presence of rapid-onset headache, or medication overuse, and Autonomic symptoms did not predict response.
Journal ArticleDOI

Diagnosis and management of chronic daily headache.

TL;DR: The diagnosis and management of distinct CDH entities, chronic migraine, chronic tension-type headache, new daily persistent headache, and hemicrania continua, are the primary forms of CDH and the emphasis of this review.
Journal ArticleDOI

Neuroendocrine dysfunction in fibromyalgia and migraine.

TL;DR: Several common aspects of the pathophysiology regarding pain control mechanisms and neuroendocrine dysfunction occurring in FM and migraine are reviewed, particularly in the chronic form of the latter.
References
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Journal ArticleDOI

Brain stem activation in spontaneous human migraine attacks.

TL;DR: Findings support the idea that the pathogenesis of migraine is related to an imbalance in activity between brain stem nuclei regulating antinociception and vascular control.
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EFNS guidelines on the treatment of cluster headache and other trigeminal‐autonomic cephalalgias

TL;DR: Large series suggest that lamotrigine is the most effective preventive agent, with topiramate and gabapentin also being useful in treatment of SUNCT syndrome, and surgical procedures, although in part promising, require further scientific evaluation.
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Headache May Arise From Perturbation of Brain

TL;DR: In this article, the authors report 15 patients who underwent electrode implantation in the periaqueductal gray between 1977 and 1982 who immediately at implantation or in the few days subsequent to implantation reported severe continuous head pain usually with florid "migrainous" feature that persisted for 2 months to 10 years.
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The clinical characteristics of headache in patients with pituitary tumours.

TL;DR: Headache appears to be a significant problem in pituitary disease and is associated with a range of headache phenotypes, likely to be governed by a combination of factors, including tumour activity, relationship to the cavernous sinus and patient predisposition to headache.
Journal ArticleDOI

“Hemicrania continua”: another headache absolutely responsive to indomethacin

TL;DR: Two cases suffering from a headache apparently at variance with well recognized headaches are described, characterized by a steady, non-paroxysmal, probably severe to moderately severe hemicrania localized anteriorly or anteroposteriorly and is not associated with nausea.
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