Symptoms
Paroxysmal hemicrania is a unilateral headache (HE) with associated symptoms. Its attacks are similar to cluster headaches, but they are shorter in duration and occur somewhat more frequently.
It occurs mainly in females and is acquired by taking indomethacin.
Forms
Episodic unilateral GB is characterized by attacks that occur periodically. Their duration can range from seven days to one year. They alternate with pain-free periods (remission) lasting more than one month.
In the chronic form, episodes of paroxysmal hemicrania occur for one year without periods of remission, or with pain-free intervals of more than one month.
Diagnostic periods
A. At least 20 episodes that meet the BD criteria.
B. Attacks lasting from two to thirty minutes and characterized by intense unilateral headache localized in the orbital region, above the orbital rim, or in the temple.
C. Cranialgia is accompanied by at least one of the following symptoms (on the side of pain):
- Conjunctival vascular injection and/or tearing
- Nasal congestion and/or discharge
- Eyelid swelling
- Sweating of the face, forehead area
- Constriction of the pupil and/or drooping of the eyelid
D. Frequency of pain episodes more than 5 times in 24 hours, sometimes somewhat less often.
E. Episodes of pain are completely relieved by indomethacin.
Cranialgia cannot be attributed to any other causes.
Diagnosis and treatment of paroxysmal headache is carried out on the basis of the neurosurgical department of the KNP “KHOKL” KOR.
