The case of a patient suffering from strictly unilateral continuous headache, absolutely responsive to indomethacin is reported. This is the first Hemicrania continua case to be documented in Spain. The tyramine test resulted in anisocoria with the smaller pupil on the symptomatic side. A second tyramine test after one week on 75 mg indomethacin per day failed to produce anisocoria. Treatment was reduced to 25 mg indomethacin per day, and this dose was sufficient to control the headache completely.
SjaastadOSpieringsELH.‘Hemicrania continua’: Another headache absolutely responsive to Indo-methacin.Cephalalgia1984;4:65–70.
2.
DiamondSMedinaJL.Prolonged benign exertional headache: Clinical characteristics and response to Indomethacin.Adv Neurol1982;33:145–9.
3.
MedinaJLDiamondS.Cluster headache variant. Spectrum of a new headache syndrome.Arch Neurol1981;38:705–9.
4.
SjaastadOApfelbaumRCaskeyWChristoffersenDDiamondSGrahamJGreenMHorvenILund-RolandMedina JRogadoSSteinH.Chronic paroxysmal hemicrania (CPH): The clinical manifestations. A review.Ups J Med Sci1980;31(suppl)27–33.
5.
SjaastadO.‘Hemicrania continua’. New developments.Cephalalgia1987;7:1636.
WilkinsonM.Clinical features of migraine. In:CliffordRose Fed.Handbook of clinical neurology,Vol 4(48):Headache. Amsterdam:Elsevier Science Publishers1986;121–2.
