A Case of Hemicrania Continua Presenting As Temporomandibular Pain and Responding To Topiramate
Journal Title: Journal of Neurological Sciences-Turkish - Year 2012, Vol 29, Issue 2
Abstract
Hemicrania continua (HC) is a primary headache disorder, characterized by unilateral, unremitting headache of moderate to severe intensity, associated with ipsilateral autonomic signs and an absolute response to indomethacin. We report a case of a 34–year-old woman who presented with strictly left-sided unremitting headache whose initial symptoms suggested a temporomandibular disorder, but the patient was ultimately diagnosed with hemicrania continua. The patient displayed an absolute response to a trial of indomethacin but she had to quit soon due to gastric intolerance and vertigo. Then topiramate was prescribed which she responded completely. This case and the other reports as well suggests that the differential diagnosis of temporomandibular disorders and HC is challenging. HC generally needs to be treated lifelong and indomethacin may not be a good choice because of its side effect profiles while topiramate may be considered as an alternative. The IHS criteria of HC need to be revised to provide a broad based description thus providing new therapeutic options.
Authors and Affiliations
Elif AYDINLAR, Dilaver KAYA, Fehim ARMAN
Keywords
Related Articles
- EP ID EP103881
- DOI -
- Views 86
- Downloads 0
Tiroid Serbestleştirici Hormon Reseptöründe Nokta Mutasyon Eğilimi
Giriş: Tiroid serbestleştirici hormon (TRH) enerji dengesini sağlamayı kontrolde önemli bir role sahiptir. TRH reseptörünün (TRHR) yapı ve işlevinde olabilecek patolojik değişiklikler genetik nöroendokrin defektin önemli...
Add-On Levetiracetam Therapy In Refractory Childhood Epilepsy: Clinical Experience In A Child Hospital
Purpose: Levetiracetam is a new anti-epileptic drug with proven efficacy in both partial and generalized seizures, in children. In this retrospective clinical study, we evaluated the effect of levetiracetam in 24 childre...
Clinical and Electrodiagnostic findings of n-Hexane Neuropathy
n-Hexane is an isomer of hexane and was identified as a peripheral neurotoxin in 1964. The solvents containing n-Hexane are used as cleaning agents in the printing, textile, furniture and shoemaking industries. Certain k...
Evaluation Of Lenalidomide Activity On Glioblastoma Cell Lines In Vitro
Purpose: Thalidomide analog, Lenalidomide (Revlimid®) is a chemotherapeutic agent. In this study, lenalidomide was used in human glioblastoma multiforme (GBM) cell lines to determine its pro-apoptotic, anti-proliferative...
Recent Concerns on SSPE: A Fatal Neuropsychiatric Disorder
SSPE is a fatal neuropsychiatric problem characterized by behavioral and psychiatric abnormalities, progressive dementia, myoclonic jerks and other focal neurologic signs, is a late and a very serious complication of an...