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Concomitant occurrence of different trigeminal autonomic cephalalgias: a case series and review of the literature.
- Source :
-
Cephalalgia : an international journal of headache [Cephalalgia] 2014 Mar; Vol. 34 (3), pp. 231-5. Date of Electronic Publication: 2013 Sep 24. - Publication Year :
- 2014
-
Abstract
- Introduction: The trigeminal autonomic cephalalgias (TACs) subsume four primary headache disorders. Hemicrania continua is increasingly regarded as an additional TAC. In rare cases patients may present with two different TACs or a TAC and hemicrania continua.<br />Cases: We report four patients with two different TACs or one TAC and hemicrania continua. Two patients presented with cluster headache and paroxysmal hemicrania, one patient with cluster headache and hemicrania continua, and one patient suffered from cluster headache and SUNCT.<br />Discussion: While the International Classification of Headache Disorders (ICHD-II) proposes specific diagnostic criteria, the variability of clinical presentation may make clear diagnosis difficult. All patients fulfilled the ICHD-II criteria. The manifestation of two different TACs or hemicrania continua in one patient is uncommon but possible and should be taken into account especially when chronic headache patients present with changing headache symptoms.
- Subjects :
- Adult
Aged, 80 and over
Diagnosis, Differential
Female
Headache Disorders classification
Humans
Male
Middle Aged
Paroxysmal Hemicrania classification
Trigeminal Autonomic Cephalalgias classification
Headache Disorders complications
Headache Disorders diagnosis
Paroxysmal Hemicrania complications
Paroxysmal Hemicrania diagnosis
Trigeminal Autonomic Cephalalgias complications
Trigeminal Autonomic Cephalalgias diagnosis
Subjects
Details
- Language :
- English
- ISSN :
- 1468-2982
- Volume :
- 34
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Cephalalgia : an international journal of headache
- Publication Type :
- Academic Journal
- Accession number :
- 24065715
- Full Text :
- https://doi.org/10.1177/0333102413506127