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 96
- Downloads 0
Follow Up and Treatment of Women With Epilepsy During Pregnancy
Objectives: More than 90 percent of pregnant women who have epilepsy deliver healthy babies. However, antiepileptic drugs (AED) that were used, genetic and socio-economic causes of maternal seizures can adversely affect...
Does Irrigation System (Pulsavactmplus) Lead to Intravascular Passage of Irrigation Fluid During Major Spine Surgery?
Aim of this study is to evaluate the passage of irrigation fluid during irrigation with (Pulsavactmplus) and its effect on whole blood count and blood electrolytes level. After propofol, remifentanil and vecuronium induc...
The Tip Of The Iceberg: Mediastinal Schwannoma Presenting As Horner’s Syndrome
A 43-year-old woman presented with a right-sided ptosis, miosis and facial anhidrosis. She was aware of her ptosis for the past year but did not seek for medical attention. Cocaine test was positive for Horner’s syndrome...
Solitary Fibrous Tumor of The Lumbar Spine: Case Report and Review of The Literature
Solitary fibrous tumor (SFT) is an uncommon spindle-cell neoplasm that typically arises in the pleural cavity. The lesion located in the spinal region is very uncommon. SFT resembles other spindle cell neoplasms of the s...
Pseudohypoparathyroidism and seizures
Pseudohypoparathyroidism is a very rare disease characterized by an inadequate response to the parathyroid hormone although it is present in normal amounts. Symptoms are related to low levels of calcium. Clinical finding...