Baykan Betül, Ertaş Mustafa
Department of Neurology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Agri. 2008 Jul;20(3):40-3.
We have recently evaluated a 54-year-old woman who had migraine without aura in her history but presenting with a typical hypnic headache (HH) which is presumably not a primary headache but associated with an ergotamine overuse headache. Her HH was relieved with a washout protocol which includes 75 mg amitriptyline daily with the addition of metoclopramide and encouraging her not to use any analgesics. Our aim was to report this unique patient to emphasize this rare association and to discuss the possible pathophysiological implications for both of these entities.
我们最近评估了一名54岁女性，她既往有无先兆偏头痛病史，但目前出现典型的睡眠性头痛（HH），这种头痛据推测并非原发性头痛，而是与麦角胺过量使用性头痛有关。通过一个洗脱方案，她的HH得到缓解，该方案包括每日服用75毫克阿米替林，并加用甲氧氯普胺，同时鼓励她不使用任何镇痛药。我们的目的是报告这位独特的患者，以强调这种罕见的关联，并讨论这两种病症可能的病理生理学意义。
