Abstract
A 35-year-old black man with a 4-year continuous history of multiple paroxysms of unilateral temporal and ocular pain is reported. Multiple (that is, 15–20) attacks occurred in 24 h. There were no symptom-free periods. Mild exophthalmos, marked sweating, nasal congestion, and lacrimation were present on the affected side. There was no response to ergot preparations, steroids, or lithium but dramatic and sustained relief with indomethacin.
Get full access to this article
View all access options for this article.
References
1.
Cosnett
JE.
Neurological disorders in the Zulu .Neurology (Minneap)
1964 ;14 :443 –54 .
2.
Ogunyemi
AO.
Prevalence of headache among Nigerian university students .Headache
1984 ;24 (3 ):127 –30 .
3.
Dalessio
DJ.
Cluster headache . In:Wolff's headache and other head pain .4th ed
New York : Oxford University Press
1980 :163 –4 .
4.
Sjaastad
O
Dale
I.
Evidence for a new (?) treatable headache entity .Headache
1974 ;14 :105 –8 .
5.
Sjaastad
O
Dale
I.
A new (?) clinical headache entity "chronic paroxysmal hemicrania" 2 .Acta Neurol Scand
1976 ;54 :140 –59 .
6.
Sjaastad
O
Afpelbaum
R
Caskey
W
et al.Chronic paroxysmal hemicrania (CPH). The clinical manifestations. A review .Ups J Med Sci
1980 (suppl 31):27 –33 .
7.
Petty
R
Rose
FC.
Chronic paroxysmal hemicrania: first reported British case .Br Med J
1983 ;286 :438 .
8.
Ekbom
K
Olivarius
B
define.
Chronic migrainous neuralgia—diagnostic and therapeutic aspects .Headache
1971 ;11 :97 –101 .
9.
Kudrow
L.
Lithium prophylaxis for chronic cluster headache .Headache
1977 ;17 :15 –8 .
10.
Geaney
DP.
Indomethacin-responsive episodic cluster headache .J Neurol Neursur Psychiatry
1983 ;46 (9 ):860 –1 .