Cerebral venous thrombosis masquerading as hemicrania continua

Sir, Hemicrania continua (HC) is an idiopathic, chronic disorder characterized by a continuous, strictly unilateral headache associated with ipsilateral cranial autonomic symptoms. [4] Patients who present with a clinical picture mimicking HC should be evaluated with a high index of suspicion for a...

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Bibliographic Details
Published in:Neurology India 2014-09, Vol.62 (5), p.556
Main Authors: Mathew, Thomas, Badachi, Sagar, Sarma, G R K, Nadig, Raghunandan
Format: Article
Language:English
Subjects:
Adult
Anticoagulants - therapeutic use
Case studies
Cerebral thrombosis
Diagnosis
Drug therapy
Headache
Headache - drug therapy
Headache - etiology
Headaches
Humans
Indomethacin - therapeutic use
Intracranial Thrombosis - complications
Intracranial Thrombosis - drug therapy
Magnetic Resonance Imaging
Male
Medical treatment
Migraine Disorders - drug therapy
Migraine Disorders - etiology
Mortality
Thrombosis
Venous Thrombosis - complications
Venous Thrombosis - diagnosis
Venous Thrombosis - drug therapy
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Summary:Sir, Hemicrania continua (HC) is an idiopathic, chronic disorder characterized by a continuous, strictly unilateral headache associated with ipsilateral cranial autonomic symptoms. [4] Patients who present with a clinical picture mimicking HC should be evaluated with a high index of suspicion for a possible CVT, even when the headache is responsive to indomethacin as it is associated with significant mortality and morbidity if not diagnosed and treated early.
ISSN:0028-3886
1998-4022
DOI:10.4103/0028-3886.144486