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CASE REPORTS
JOURNAL ARTICLE
Postoperative hemicrania continua-like headache - a case series.
BACKGROUND: Hemicrania continua (HC) is a rare chronic headache disorder, typically accompanied by cranial autonomic features and responding to therapeutic doses of indomethacin. The pathophysiology of hemicrania continua is not fully understood.
FINDINGS: We report a series of three patients who developed a continuous hemicranial headache after cranial surgery. Each case presented a similar phenotype of continuous half-sided headache, cranial autonomic symptoms with exacerbations (2/3), and a response to indomethacin.
CONCLUSION: The biology of hemicrania continua may be activated post-craniotomy just as can be seen with other primary headache disorders.
FINDINGS: We report a series of three patients who developed a continuous hemicranial headache after cranial surgery. Each case presented a similar phenotype of continuous half-sided headache, cranial autonomic symptoms with exacerbations (2/3), and a response to indomethacin.
CONCLUSION: The biology of hemicrania continua may be activated post-craniotomy just as can be seen with other primary headache disorders.
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