Kato Yuji, Tamai Yumeka, Hayashi Takeshi, Mizuno Satoko, Tanahashi Norio, Takao Masaki
Department of Neurology and Cerebrovascular Medicine, Saitama Medical University International Medical Center, Japan.
Intern Med. 2019 Mar 1;58(5):723-725. doi: 10.2169/internalmedicine.1561-18. Epub 2018 Oct 17.
We report the case of a 46-year-old man with hemicrania continua presenting as exacerbations mimicking trigeminal neuralgia. The patient was tentatively diagnosed with trigeminal neuralgia, and treatment with various combinations of drugs was performed after the onset of pain. However, when the condition of the patient did not improve, we suspected hemicrania continua, and treatment with indomethacin was initiated. There was a marked alleviation of his pain within 24 hours. Thus, clinicians should be aware that the duration and frequency of exacerbations of hemicrania continua are variable.
我们报告了一例46岁男性，患有持续性偏侧头痛，其发作表现类似三叉神经痛。该患者初步诊断为三叉神经痛，疼痛发作后采用了多种药物联合治疗。然而，患者病情未见改善，我们怀疑是持续性偏侧头痛，遂开始使用吲哚美辛治疗。24小时内其疼痛明显缓解。因此，临床医生应意识到持续性偏侧头痛发作的持续时间和频率是可变的。
