Pareja J A, Palomo T, Gorriti M A, Pareja J, Espejo J
Hospital de Llerena, Badajoz, Spain.
Headache. 1990 May;30(6):344-6. doi: 10.1111/j.1526-4610.1990.hed3006344.x.
For seventeen years, a young man suffered from headaches of one to three days duration occurring once every six or seven days and totally disappearing between episodes. These were strictly unilateral (always on the left side), and were absolutely responsive to indomethacin. They differ clinically from the other two indomethacin-responsive headaches described up to now: Hemicrania Continua (HC) and Chronic Paroxysmal Hemicrania (CPH). He has a sister suffering from HC. Similar to HC, but unlike CPH, topical tyramine in our patient's eyes resulted in anisocoria before, but not after, indomethacin treatment. Our case differs from HC, however, in its time pattern; it could either be a pre-chronic stage of HC or a new type of headache. It seems unlikely that a time pattern that has remained unchanged for 17 years will become continuous, as in HC, in the future, and thus it is possible that our patient represents a case of a new type of headache that we propose to name "Hemicrania Episodica." In any case, it seems probable that this type of headache, although clinically different, may share a common pathogenic basis with HC.
十七年来，一名年轻男子患有持续一至三天的头痛，每六或七天发作一次，发作间期完全消失。这些头痛严格为单侧性（总是在左侧），并且对消炎痛完全有反应。它们在临床上与迄今为止描述的其他两种对消炎痛有反应的头痛不同：持续性偏侧头痛（HC）和慢性发作性偏侧头痛（CPH）。他有一个患HC的姐姐。与HC相似，但与CPH不同，在我们的患者眼中，局部应用酪胺在消炎痛治疗前会导致瞳孔不等大，但治疗后不会。然而，我们的病例在时间模式上与HC不同；它可能是HC的慢性前期或一种新型头痛。一种已经保持17年不变的时间模式在未来似乎不太可能像HC那样变为持续性，因此我们的患者有可能代表一种我们提议命名为“发作性偏侧头痛”的新型头痛病例。无论如何，这种类型的头痛尽管在临床上有所不同，但似乎可能与HC有共同的致病基础。
