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Paroxysmal Hemicrania

Short-lasting, severe, and unilateral headache attacks.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Nöroloji department. Book Appointment →

What is Paroxysmal Hemicrania?

Paroxysmal hemicrania is a rare primary headache type in the trigeminal autonomic cephalalgias group, characterized by unilateral, severe, and short-lasting attacks. Attacks may recur from a few times to 40 times per day.

Each attack usually lasts 2-30 minutes and is associated with severe pain localized around the eye along with autonomic findings on the same side such as tearing, eye redness, nasal discharge, or congestion.

Diagnosis is largely made by definite response to indomethacin therapy. In cases that do not respond to treatment, secondary causes should be investigated.

Symptoms

Unilateral severe pain centered around the eye
Short attacks lasting 2-30 minutes
5 or more attacks per day
Tearing and redness on the same side
Nasal congestion or discharge
Eyelid swelling or drooping (ptosis)
Restlessness and tendency to move

Risk Factors

Female sex (more common)
Age 20-40
Family history of headache
Stress and irregular sleep
Alcohol consumption
Onset after trauma
Rarely underlying structural lesions

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • If short and recurrent severe headaches occur during the day
  • If headache seriously affects work and sleep
  • Neurology evaluation is essential before indomethacin
  • If autonomic findings appear on the same side in each attack
  • If response cannot be obtained from current treatments

Treatment Methods

01
Indomethacin (with gastric protection, under physician supervision)
02
Nonsteroidal anti-inflammatories
03
Treatment directed at secondary cause if present
04
Avoidance of triggers
05
Regular sleep and lifestyle adjustments
06
Tracking attacks with a pain diary

Which Department to Visit?

You can visit our Nöroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.