Chronic paroxysmal hemicrania in paediatric age: report of two casesReport as inadecuate

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The Journal of Headache and Pain

, Volume 12, Issue 2, pp 263–267

First Online: 22 February 2011Received: 20 October 2010Accepted: 15 December 2010


Chronic paroxysmal hemicrania CPH is a rare primary headache syndrome, which is classified along with hemicrania continua and short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing SUNCT as trigeminal autonomic cephalalgia TACs. CPH is characterised by short-lasting 2–30 min, severe and multiple more than 5-day pain attacks. Headache is unilateral, and fronto-orbital-temporal pain is combined with cranial autonomic symptoms. According to the International Classification of Headache Disorders, 2nd edition, the attacks are absolutely responsive to indomethacin. CPH has been only rarely and incompletely described in the developmental age. Here, we describe two cases concerning a 7-year-old boy and a 11-year-old boy with short-lasting, recurrent headache combined with cranial autonomic features. Pain was described as excruciating, and was non-responsive to most traditional analgesic drugs. The clinical features of our children’s headache and the positive response to indomethacin led us to propose the diagnosis of CPH. Therefore, our children can be included amongst the very few cases of this trigeminal autonomic cephalgia described in the paediatric age.

KeywordsChronic paroxysmal hemicrania Trigeminal autonomic cephalgias Children Indomethacin  Download fulltext PDF

Author: Samuela Tarantino - Catello Vollono - Alessandro Capuano - Federico Vigevano - Massimiliano Valeriani


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