Erratum to: Coexistence of contralateral cluster headache and probable paroxysmal hemicrania: a case report

The trigeminal autonomic cephalgias (TACs) are characterized by short-lasting unilateral headaches with autonomic features (1). They include four headache disorders, cluster headache (CH), paroxysmal hemicrania (PH), SUNCT syndrome and hemicrania continua (HC). The coexistence of different ipsilateral TACs in the same patient has been previously reported in six published cases (2-6). In five of these patients an association of CH and PH was noted (2-5). The two varieties of attacks occurred separately in three patients, while their simultaneous occurrence was observed in two cases. In another patient the successive occurrence of trigeminal neuralgia, SUNCT syndrome, PH and CH in one active headache period was noted (6). All the reported cases concerned male patients. We describe what we believe to be the first case of coexistence of two different contralateral TACs.

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Epsodic paroxysmal hemicrania with seasonal variation: case report and the EPH-cluster headache continuum hypothesis

Arquivos de Neuro-Psiquiatria ◽

10.1590/s0004-282x2001000600020 ◽

2001 ◽

Vol 59 (4) ◽

pp. 944-947 ◽

Cited By ~ 17

Author(s):

Germany Gonçalves Veloso ◽

Alexandre Ottoni Kaup ◽

Mario F Pietro Peres ◽

Eliova Zukerman

Keyword(s):

Case Report ◽

Seasonal Variation ◽

Cluster Headache ◽

Continuum Hypothesis ◽

Seasonal Pattern ◽

Paroxysmal Hemicrania ◽

Conjunctival Injection ◽

Unilateral Headache ◽

Clear Seasonal Pattern ◽

New Hypothesis

Episodic paroxysmal hemicrania (EPH) is a rare disorder characterized by frequent, daily attacks of short-lived, unilateral headache with accompanying ipsilateral autonomic features. EPH has attack periods which last weeks to months separated by remission intervals lasting months to years, however, a seasonal variation has never been reported in EPH. We report a new case of EPH with a clear seasonal pattern: a 32-year-old woman with a right-sided headache for 17 years. Pain occurred with a seasonal variation, with bouts lasting one month (usually in the first months of the year) and remission periods lasting around 11 months. During these periods she had headache from three to five times per day, lasting from 15 to 30 minutes, without any particular period preference. There were no precipitating or aggravating factors. Tearing and conjunctival injection accompanied ipsilaterally the pain. Previous treatments provided no pain relief. She completely responded to indomethacin 75 mg daily. After three years, the pain recurred with longer attack duration and was just relieved with prednisone. We also propose a new hypothesis: the EPH-cluster headache continuum.

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Simultaneous Occurrence of Ipsilateral Cluster Headache and Chronic Paroxysmal Hemicrania: A Case Report

Headache The Journal of Head and Face Pain ◽

10.1046/j.1526-4610.2000.00011.x ◽

2000 ◽

Vol 40 (1) ◽

pp. 54-56 ◽

Cited By ~ 21

Author(s):

Vincenzo Centonze ◽

Antonia Bassi ◽

Vito Causarano ◽

Lidia Dalfino ◽

Angelo Centonze ◽

...

Keyword(s):

Case Report ◽

Cluster Headache ◽

Paroxysmal Hemicrania ◽

Simultaneous Occurrence ◽

Chronic Paroxysmal Hemicrania

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Coexistence of contralateral cluster headache and probable paroxysmal hemicrania: a case report

SpringerPlus ◽

10.1186/s40064-016-2000-4 ◽

2016 ◽

Vol 5 (1) ◽

Cited By ~ 1

Author(s):

Pauri Flavia ◽

Lepre Chiara

Keyword(s):

Case Report ◽

Cluster Headache ◽

Paroxysmal Hemicrania

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Coexistence of cluster headache and paroxysmal hemicrania: does it exist? A case report and literature review

The Journal of Headache and Pain ◽

10.1007/s10194-009-0104-8 ◽

2009 ◽

Vol 10 (3) ◽

pp. 219-223 ◽

Cited By ~ 11

Author(s):

Nilima D. Shah ◽

Sanjay Prakash

Keyword(s):

Case Report ◽

Literature Review ◽

Cluster Headache ◽

Paroxysmal Hemicrania

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Chronic Paroxysmal Hemicrania: Orbital Phlebography and Steroid Treatment: A Case Report

Cephalalgia ◽

10.1046/j.1468-2982.1987.0703189.x ◽

1987 ◽

Vol 7 (3) ◽

pp. 189-192 ◽

Cited By ~ 33

Author(s):

Jan Hannerz ◽

Kaj Ericson ◽

Gustaf Bergstrand

Keyword(s):

Case Report ◽

Ankylosing Spondylitis ◽

Cluster Headache ◽

Steroid Treatment ◽

Paroxysmal Hemicrania ◽

Hunt Syndrome ◽

Orbital Phlebography ◽

History Of ◽

Chronic Paroxysmal Hemicrania

A 62-year-old man with ankylosing spondylitis and with a 3-year history of chronic paroxysmal hemicrania is presented. Because of his ankylosing spondylitis naproxen was prescribed; this decreased the attacks of headache to about 50%. However, treatment with indomethacin and steroids eliminated the attacks completely, the former drug in 24 h but only when the drug was taken; the latter drug was completely effective after a week but with an effect that lasted half a year after the medication was stopped. Orbital phlebography showed changes similar to those previously observed in patients with Tolosa-Hunt syndrome and cluster headache. Venous vasculitis thus seems to be associated with all three disorders and may be a factor of etiologic significance.

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SPHENOPALATINE GALGLION BLOCK FOR THE TREATMENT OF EPISODIC CLUSTER HEADACHE IN PREGNANCY: A CASE REPORT

10.26226/morressier.5ab3c880a874c60026559690 ◽

2018 ◽

Author(s):

Costanza Barcellona

Keyword(s):

Case Report ◽

Cluster Headache ◽

Episodic Cluster Headache ◽

In Pregnancy

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Hypothalamic Activation in Trigeminal Autonomic Cephalgia: Functional Imaging of an Atypical Case

Cephalalgia ◽

10.1111/j.1468-2982.2004.00753.x ◽

2004 ◽

Vol 24 (9) ◽

pp. 753-757 ◽

Cited By ~ 46

Author(s):

T Sprenger ◽

M Valet ◽

M Hammes ◽

P Erhard ◽

A Berthele ◽

...

Keyword(s):

Cluster Headache ◽

Paroxysmal Hemicrania ◽

Cerebral Activation ◽

Atypical Case ◽

Clear Cut ◽

Oxygen Administration ◽

Autonomic Reflex ◽

Trigeminal Autonomic Cephalgia ◽

Hypothalamic Activation

We report headache induced BOLD changes in an atypical case of trigeminal autonomic cephalgia (TAC). A 68-year-old patient was imaged using fMRi during three attacks of a periorbital head-pain with a average duration of 3 min. During the attacks, left sided conjunctival injection, rhinorrhea, lacrimation, facial sweating and hypersalivation were apparent. These attacks were usually partly responsive to oxygen administration but otherwise refractory to any drug. The patient described either attacks with a duration of one minute or less or longer attacks persisting for maximum of 20 min with headaches occurring up to 100 times a day. When considering the symptoms, frequency, duration and therapeutic response of the patient's headache, no clear-cut classification to one of the subtypes of trigeminal autonomic cephalgias (cluster headache, paroxysmal hemicrania, SUNCT) or trigeminal neuralgia was possible. The cerebral activation pattern was similar but not identical to those previously observed in cluster headache and SUNCT with a prominent activation in the hypothalamic grey matter. This case study underlines the conceptual value of the term TAC for the group of headaches focusing around the trigeminal-autonomic reflex. Our results emphasize the importance of the hypothalamus as key region in the pathophysiology of this entity.

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