paroxysmal hemicrania

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Epidemiology

  • rare
  • generally begins in adulthood
  • more common in women than men

Clinical manifestations

  • severe throbbing, claw-like, or boring pain usually on one side of the face in, around, or behind the eye
  • occasional reaches the back of the neck
  • red & tearing eyes
  • a drooping or swollen eyelid on the affected side of the face
  • nasal congestion
  • dull pain, soreness, or tenderness may occur between attacks
  • two forms:
    • chronic: attacks on a daily basis for a year or more
    • episodic: headaches may remit for months or years
  • movements of the head or neck or external pressure to the neck may trigger these headaches

Management

Prognosis:

  • many patients experience complete resolution of symptoms
  • condition may persist indefinitely, may go into remission or resolve spontaneously

More general terms

References

  1. 1.0 1.1 Medical Knowledge Self Assessment Program (MKSAP) 16 American College of Physicians, Philadelphia 2012
  2. Goadsby PJ, Cittadini E, Cohen AS. Trigeminal autonomic cephalalgias: paroxysmal hemicrania, SUNCT/SUNA, and hemicrania continua. Semin Neurol. 2010 Apr;30(2):186-91 PMID: https://www.ncbi.nlm.nih.gov/pubmed/20352588
  3. NINDS Paroxysmal Hemicrania Information Page https://www.ninds.nih.gov/Disorders/All-Disorders/Paroxysmal-Hemicrania-Information-Page

Patient information

paroxysmal hemicrania patient information