Paroxysmal hemicrania: A case report

Paroxysmal hemicrania (PH) is one of the trigeminai autonomie cephalgias (TACs), a group of primary headache disorders characterized by unilateral trigeminal distribution pain that occurs in association with prominent ipsilateral cranial autonomy features. The TACs are relatively rare, which is likely to be why they are poorly recognized in primary care. TACs will thus be referred to neurologists eventually, offering an excellent opportunity to diagnose and treat these patients. PH responds in a dramatic and absolute fashion to indomethacin. The importance of recognizing these syndromes is underscored by their excellent but highly selective response to treatment. This is the case report of our patient with PH and the review of current knowledge about pathophysiology of TACs, as well as differential diagnosis of other entities from this headache group. Paroksizmalna hemikranija (PH) je jedna od trigemino-autonomnih cefalalgija (TAC), grupe primarnih glavobolja koja ce karakterise striktno unilateralnom trigeminalnom distribucijom bola, koja ce odigrava udruzena sa izrazenim istostranim kranijalnim autonomnim fenomenima. Zbog niske ucestalosti, ove glavobolje se retko prepoznaju na nivou primarne zdravstvene zastite. Za neurologa, medjutim, TAC pruza izvanrednu dijagnosticku i terapijsku mogucnost. PH ima brz i potpun terapijski odgovor na indometacin. Znacaj prepoznavanja ovih sindroma je u njihovom izvanrednom i visokoselektivnom terapijskom odgovoru. U radu prikazujemo slucaj bolesnika sa PH i najnovija saznanja u vezi sa patofiziologijom TAC i diferencijalnom dijagnozom pojedinih entiteta glavobolja iz ove grupe.