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Neurological Sciences
Published in: Neurological Sciences 4/2015

01-04-2015 | Letter to the Editor

Hemicrania continua with visual aura successfully treated with a combination of indomethacin and topiramate

Authors: Jacopo Fantini, N. Koscica, M. Zorzon, M. Belluzzo, A. Granato

Published in: Neurological Sciences | Issue 4/2015

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Excerpt

Hemicrania continua (HC) is a rare syndrome characterized by continuous unilateral pain of moderate intensity with superimposed exacerbations of severe pain with migrainous (throbbing quality, presence of abnormal sensitivity to light and sound, nausea and vomiting) and autonomic features (conjunctival injection, lacrimation, nasal congestion, rhinorrhoea, ptosis, or eyelid oedema). HC is peculiarly responsive to indomethacin. Visual or sensitive auras associated with HC have been reported as very rare atypical feature. Here, we report a case of HC with visual aura successfully treated with a combination of indomethacin and topiramate. …
Literature
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Headache Classification Committee of the International Headache Society (IHS) (2013) The international classification of headache disorders, 3rd edition (beta version). Cephalalgia 33(9):629–808CrossRef
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Matharu MS, Bradbury P, Swash M (2005) Hemicrania continua: side alternation and response to topiramate. Cephalalgia 26:341–344CrossRef
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Peres MF, Masruha MR, Young WB (2006) Side-shifting hemicrania continua with aura (migraine with aura with autonomic symptoms responsive to indomethacin?). Cephalalgia 26(8):917–919CrossRefPubMed
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Palmieri A, Mainardi F, Maggioni F et al (2004) Hemicrania continua evolving from migraine with aura: clinical evidence of a possible correlation between two forms of primary headache. Cephalalgia 24(11):1007–1008CrossRefPubMed
Metadata
Title
Hemicrania continua with visual aura successfully treated with a combination of indomethacin and topiramate
Authors
Jacopo Fantini
N. Koscica
M. Zorzon
M. Belluzzo
A. Granato
Publication date
01-04-2015
Publisher
Springer Milan
Published in
Neurological Sciences / Issue 4/2015
Print ISSN: 1590-1874
Electronic ISSN: 1590-3478
DOI
https://doi.org/10.1007/s10072-014-2036-6

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