Chronic paroxysmal hemicrania
From WikiLectures
CPH is a primary headache that is more common in women and is characterized by the following symptoms:
- At least 20 attacks of severe pain with a frequency of 5 attacks per day (or less) located unilaterally in orbit, supraorbital or temporal and lasting 2-30 min.
- Along with the headache at least one of the following appears:
- Ipsilateral conjunctival injections, lacrimation or both.
- Ipsilateral nasal congestion, rhinorrhea or both
- Ipsilateral swelling of the eyelid.
- Ipsilateral sweating on the forehead and face.
- Ipsilateral miosis, ptosis or both.[1]
Indomethacin, is usually the drug of choice , usually 75-150 mg / day in multiple doses.[1] Při nesnášenlivosti Indomethacin intolerance is kyselina acetylsalicylic acid or verapamil for prophylaxis. [2]
CPH may resolve spontaneously or persist throughout life.[1]
