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        New Message Board Archives >> 2003 Posts >> chronic paroxysmal hemicrania
        
(Message started by: Kenzie60 on Apr 23^rd, 2003, 11:43am)

Title: chronic paroxysmal hemicrania
Post by Kenzie60 on Apr 23^rd, 2003, 11:43am

:o :o

The neuro mentioned something about chronic paroxysmal hemicrania (CPH) the other day and I was wondering if anyone ever heard of it? Any info would help.
Thanks,
Roseanne

Title: Re: chronic paroxysmal hemicrania
Post by echo on Apr 23^rd, 2003, 11:53am

www.upstate.edu/neurology/haas/hpclrx.htm

this site may have information you are looking for.

Description (IHS): Attacks with largely the same characteristics of pain and associated symptoms and signs as cluster headache, but they are shorter lasting, more frequent, occur mostly in females, and there is absolute effectiveness of indomethacin, as shown in the description of a patient with chronic paroxysmal hemicrania.

Diagnostic criteria (IHS) (abbreviated and slightly altered)

At least 50 attacks
Attacks of severe unilateral orbital, supraorbital and/or temporal pain always on the same side lasting 2 to 45 minutes
Attack frequency above 5 per day for more than half of the time
Pain is associated with at least one of the following symptoms on the pain side:
conjunctival injection (reddened eyeball)
Lacrimation (excessive tears from the eye)
Nasal congestion (stuffy nose)
Rhinorrhea (runny nose)
Ptosis (lowered upper eyelid)
Eyelid edema (lids become puffy)
Absolute effectiveness of indomethacin (150 mg per day or less)
Secondary headache types neither suggested nor confirmed

Comment: Just as cluster headache has both an episodic and chronic form, so does paroxysmal hemicrania. Its episodic form is called episodic paroxysmal hemicrania. Its first identification was just before the IHS published its headache classification in 1988. It's rarer even than the chronic form. Its individual headache attacks are identical to those of the chronic form, from which it differs only by its remissions of months to years between bouts of attacks. Goadsby and Lipton (1997) have reviewed the literature on the paroxysmal hemicranias and proposed diagnostic criteria for both forms.
The IHS requires disappearance of the headache attacks of chronic paroxysmal hemicrania during indomethacin therapy, in a dose of 150 mg or less per day, for the diagnosis to be established. But this criterion has been challeged, in view of reports of a few patients whose headaches responded partially or not at all to indomethacin, even though their headaches were otherwise typical of chronic paroxysmal hemicrania.

Title: Re: chronic paroxysmal hemicrania
Post by echo on Apr 23^rd, 2003, 11:55am

Google search engine on Chronic Paroxysmal Hemicrania gave 906 hits.

Title: Re: chronic paroxysmal hemicrania
Post by Kenzie60 on Apr 23^rd, 2003, 12:15pm

I was on the Indocin with absolutely no results. The O2 is effective taking them to a 3 or 4. I haven't been HA free in 2 weeks. I am hoping that these new meds will begin to work.

Roseanne ::)