Subscribe to RSS
DOI: 10.1055/s-2006-939926
Paroxysmal Hemicrania SUNCT, and Hemicrania Continua
Publication History
Publication Date:
21 April 2006 (online)
ABSTRACT
The trigeminal autonomic cephalalgias (TACs) are a group of primary headache disorders characterized by unilateral pain in the somatic distribution of the trigeminal nerve and ipsilateral autonomic signs, which reflect activation of the cranial parasympathetic pathway. The group includes cluster headache, paroxysmal hemicrania, and short-lasting unilateral neuralgiform headache with conjunctival injection and tearing. Hemicrania continua was previously classified as one of the TACs. Despite their common elements, individually these headaches differ with respect to attack duration, frequency, and response to indomethacin.
KEYWORDS
Chronic paroxysmal hemicrania - episodic paroxysmal hemicrania - short-lasting unilateral neuralgiform headache with conjunctival injection and tearing - hemicrania continua
REFERENCES
- 1 Goadsby P J, Lipton R B. A review of paroxysmal hemicranias, SUNCT syndrome and other short-lasting headaches with autonomic feature, including new cases. Brain. 1997; 120 193-209
- 2 Headache Classification Subcommittee of the International Headache Society . The international classification of headache disorders, 2nd edition. Cephalalgia. 2004; 24(suppl 1) 1-160
- 3 Matharu M S, Boes C J, Goadsby P J. Management of trigeminal autonomic cephalgias and hemicrania continua. Drugs. 2003; 63 1637-1677
- 4 Sjaastad O, Dale I. Evidence for a new (?), treatable headache entity. Headache. 1974; 14 105-108
- 5 Sjaastad O, Dale I. A new (?) clinical headache entity “chronic paroxysmal hemicrania.” Acta Neurol Scand. 1976; 54 140-159
- 6 Kudrow L, Esperanca P, Vijayan N. Episodic paroxysmal hemicrania?. Cephalalgia. 1987; 7 197-201
- 7 Antonaci F, Sjaastad O. Chronic paroxysmal hemicrania (CPH): a review of the clinical manifestations. Headache. 1989; 29 648-656
- 8 Boes C J, Dodick D W. Refining the clinical spectrum of chronic paroxysmal hemicrania: a review of 74 patients. Headache. 2002; 42 699-708
- 9 Pareja J A. Chronic paroxysmal hemicrania: dissociation of the pain and autonomic features. Headache. 1995; 35 111-113
-
10 Newman L C, Lipton R B.
Paroxysmal hemicranias . In: Goadsby PJ, Silberstein SD Headache. Boston; Butterworth-Heinemann 1997: 243-250 - 11 Sjaastad O, Egge K, Horven I et al.. Chronic paroxysmal hemicranial: mechanical precipitation of attacks. Headache. 1979; 19 31-36
- 12 Mulder L JMM, Spierings E LH. Non-lateralized pain in a case of chronic paroxysmal hemicrania?. Cephalalgia. 2004; 24 52-53
- 13 Boes C J, Swanson J W, Dodick D W. Chronic paroxysmal hemicrania presenting as otalgia with a sensation of external acoustic meatus obstruction: two cases and a pathophysiologic hypothesis. Headache. 1998; 38 787-791
- 14 Matharu M S, Goadsby P J. Post-traumatic chronic paroxysmal hemicrania (CPH) with aura. Neurology. 2001; 56 273-275
-
15 Kudrow L.
Clinical characteristics . In: Cluster Headache: Mechanisms and Management. Oxford; Oxford University Press 1980: 21-38 - 16 Manzoni G C, Terzano M G, Bono G, Micieli G, Martucci N, Nappi G. Cluster headache: clinical findings in 180 patients. Cephalalgia. 1983; 3 21-30
- 17 Zidverc-Trajkovic J, Pavlovic A M, Mijajlovic M, Jovanovic Z, Sternic N, Kostic V S. Cluster headache and paroxysmal hemicrania: differential diagnosis. Cephalalgia. 2005; 25 244-248
- 18 Boes C. Differentiating paroxysmal hemicrania from cluster headache. Cephalalgia. 2005; 25 241-243
- 19 Pareja J A, Caminero A B, Franco E, Casado J L, Pascual J, Sanchez del Rio M. Dose, efficacy and tolerability of long-term indomethacin treatment of chronic paroxysmal hemicrania and hemicrania continua. Cephalalgia. 2001; 21 906-910
- 20 Mathew N T, Kailasam J, Fischer A. Responsiveness to celecoxib in chronic paroxysmal hemicrania. Neurology. 2000; 55 316
- 21 Lisotto C, Maggioni F, Mainardi F, Zanchin G. Rofecoxib for the treatment of chronic paroxysmal hemicrania. Cephalalgia. 2003; 23 318-320
- 22 Gobel H, Heinze A, Heinze-Kuhn K. Botulinum toxin A in the treatment of chronic paroxysmal hemicrania: a case report. Cephalalgia. 2001; 21 506
- 23 Rozen T D. Melatonin as treatment for indomethacin-responsive headaches. Headache. 2003; 43 591
- 24 Sjaastad O, Saunte C, Salvesen R et al.. Shortlasting, unilateral neuralgiform headache attacks with conjunctival injection, tearing, sweating, and rhinorrhea. Cephalalgia. 1989; 9 147-156
- 25 Matharu M S, Cohen A S, Boes C J, Goadsby P J. Short-lasting unilateral neuralgiform headache with conjunctival injection and tearing syndrome: a review. Curr Pain Headache Rep. 2003; 7 308-318
- 26 Pareja J A, Sjaastad O. SUNCT syndrome: a clinical review. Headache. 1997; 37 195-202
- 27 Pareja J A, Joubert J, Sjaastad O. SUNCT syndrome: atypical temporal patterns. Headache. 1996; 36 108-110
- 28 Pareja J A, Shen J M, Kruszewski P, Caballero V, Pamo M, Sjaastad O. SUNCT syndrome: duration, frequency, and temporal distribution of attacks. Headache. 1996; 36 161-165
- 29 Wingerchuk D M, Nyquist P A, Rodriguez M, Dodick D W. Extratrigeminal short-lasting unilateral neuralgiform headache with conjunctival injection and tearing (SUNCT): new pathophysiologic entity or variation on a theme?. Cephalalgia. 2000; 20 127-129
- 30 Katusic S, Beard C M, Bergstralh E, Kurland L T. Incidence and clinical features of trigeminal neuralgia, Rochester, Minnesota, 1945-1984. Ann Neurol. 1990; 27 89-95
- 31 Willius F A. Aphorisms of Dr. Charles Horace Mayo and Dr. William James Mayo. Rochester: Mayo Foundation for Medical Education and Research. 1997
-
32 Kinnier Wilson S A.
Neuritis . In: Bruce AN Neurology. London; Edward Arnold 1940: 380-392 - 33 Sjaastad O, Kruszewski P. Trigeminal neuralgia and “SUNCT” syndrome-similarities and differences in the clinical pictures: an overview. Funct Neurol. 1992; 7 103-107
- 34 Harris W. Neuritis and Neuralgia. London; Humphrey Milford, Oxford University Press 1926
- 35 Pareja J A, Barón M, Gili P et al.. Objective assessment of autonomic signs during triggered first division trigeminal neuralgia. Cephalalgia. 2002; 22 251-255
- 36 D'Andrea G, Granella F, Ghiotto N, Nappi G. Lamotrigine in the treatment of SUNCT syndrome. Neurology. 2001; 57 1723-1725
- 37 Graff-Radford S B. SUNCT syndrome responsive to gabapentin (Neurontin). Cephalalgia. 2000; 20 515-517
- 38 Hunt C H, Dodick D W, Bosch E P. SUNCT responsive to gabapentin. Headache. 2002; 42 525-526
- 39 Matharu M S, Boes C J, Goadsby P J. SUNCT syndrome: prolonged attacks, refractoriness and response to topiramate. Neurology. 2002; 58 1307
- 40 Leone M, Franzini A, D'Amico D et al.. Hypothalamic deep brain stimulation to relieve intractable chronic SUNCT: the first case. Neurology. 2004; 62(suppl 5) A356
- 41 Black D F, Dodick D W. Two cases of medically and surgically intractable SUNCT: a reason for caution and an argument for a central mechanism. Cephalalgia. 2002; 22 201-204
- 42 Medina J L, Diamond S. Cluster headache variant: spectrum of a new headache syndrome. Arch Neurol. 1981; 38 705-709
- 43 Boghen D, Desaulniers N. Background vascular headache: relief with indomethacin. Can J Neurol Sci. 1983; 10 270-271
- 44 Sjaastad O, Spierings E L. “Hemicrania continua”: another headache absolutely responsive to indomethacin. Cephalalgia. 1984; 4 65-70
- 45 Dodick D. Hemicrania continua: diagnostic criteria and nosologic status. Cephalalgia. 2001; 21 869-872
- 46 Peres M FP, Silberstein S D, Nahmias S et al.. Hemicrania continua is not that rare. Neurology. 2001; 57 948-951
- 47 Bordini C, Antonaci F, Stovner L J, Schrader H, Sjaastad O. “Hemicrania continua”: a clinical review. Headache. 1991; 31 20-26
- 48 Peres M F, Siow H C, Rozen T D. Hemicrania continua with aura. Cephalalgia. 2002; 22 246-248
- 49 Young W B, Silberstein S D. Hemicrania continua and symptomatic medication overuse. Headache. 1993; 33 485-487
- 50 Lay C L, Newman L C. Post-traumatic hemicrania continua. Headache. 1999; 39 275-279
- 51 Peres M F, Zukerman E. Hemicrania continua responsive to rofecoxib. Cephalalgia. 2000; 20 130-131
- 52 Peres M FP, Silberstein S D. Hemicrania continua responds to cyclooxygenase-2 inhibitors. Headache. 2002; 42 530-531
- 53 Dodick D, Trentman T, Zimmerman R, Eross E. Occipital nerve stimulation for intractable chronic primary headache disorders. Cephalalgia. 2003; 23 701
- 54 Goadsby P J, Edvinsson L. Neuropeptide changes in a case of chronic paroxysmal hemicrania: evidence for trigemino-parasympathetic activation. Cephalalgia. 1996; 16 448-450
- 55 May A, Bahra A, Buchel C, Frackowiak R SJ, Goadsby P J. PET and MRA findings in cluster headache and MRA in experimental pain. Neurology. 2000; 55 1328-1335
- 56 May A, Bahra A, Buchel C, Turner R, Goadsby P J. Functional magnetic resonance imaging in spontaneous attacks of SUNCT: short-lasting neuralgiform headache with conjunctival injection and tearing. Ann Neurol. 1999; 46 791-794
- 57 Sprenger T, Valet M, Platzer S, Pfaffenrath V, Steude U, Tolle T R. SUNCT: bilateral hypothalamic activation during headache attacks and resolving of symptoms after trigeminal decompression. Pain. 2005; 113 422-426
- 58 Matharu M S, Cohen A S, McGonigle D J, Ward N, Frackowiak R S, Goadsby P J. Posterior hypothalamic and brainstem activation in hemicrania continua. Headache. 2004; 44 747-761
-
59 Dodick D W.
Indomethacin-responsive headache syndromes . In: Noseworthy JH Neurological Therapeutics: Principles and Practice. London; Martin Dunitz 2003: 142-150 - 60 Broch A, Horven I, Nornes H, Sjaastad O, Tonjum A. Studies on cerebral and ocular circulation in a patient with cluster headache. Headache. 1970; 10 1-8
-
61 Sjaastad O.
Chronic paroxysmal hemicrania . In: Walton J, Warlow CP Major Problems in Neurology: Cluster Headache Syndrome. London; WB Saunders 1992: 291-392 - 62 Hannerz J, Jogestrand T. Intracranial hypertension and sumatriptan efficacy in a case of chronic paroxysmal hemicrania which became bilateral. (The mechanism of indomethacin in CPH.) Headache. 1993; 33 320-323
- 63 Akerman S, Williamson D J, Kaube H, Goadsby P J. Nitric oxide synthase inhibitors can antagonize neurogenic and calcitonin gene-related peptide induced dilation of dural meningeal vessels. Br J Pharmacol. 2002; 137 62-68
Christopher J BoesM.D.
Department of Neurology, Mayo Clinic College of Medicine
200 First Street SW, Rochester, MN 55905