A Combination of Indomethacin Farnesyl and Amitriptyline Is Effective for Continuous Interictal Pain with Probable Chronic Paroxysmal Hemicrania

A 26-year-old woman with a history of migraine reported right-sided, severe stabbing orbital pain with cranial autonomic symptoms (CASs) for approximately 2 years. The attack duration was approximately 30 minutes, with a frequency of twice per day. Taking loxoprofen was ineffective. Six months earli...

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Autores principales: Kikui, Shoji, Miyahara, Junichi, Sugiyama, Hanako, Kohashi, Mutsuo, Ota, Kuniko, Danno, Daisuke, Kashiwaya, Yoshihiro, Takeshima, Takao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8866799/
https://www.ncbi.nlm.nih.gov/pubmed/34176839
http://dx.doi.org/10.2169/internalmedicine.7511-21
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author Kikui, Shoji
Miyahara, Junichi
Sugiyama, Hanako
Kohashi, Mutsuo
Ota, Kuniko
Danno, Daisuke
Kashiwaya, Yoshihiro
Takeshima, Takao
author_facet Kikui, Shoji
Miyahara, Junichi
Sugiyama, Hanako
Kohashi, Mutsuo
Ota, Kuniko
Danno, Daisuke
Kashiwaya, Yoshihiro
Takeshima, Takao
author_sort Kikui, Shoji
collection PubMed
description A 26-year-old woman with a history of migraine reported right-sided, severe stabbing orbital pain with cranial autonomic symptoms (CASs) for approximately 2 years. The attack duration was approximately 30 minutes, with a frequency of twice per day. Taking loxoprofen was ineffective. Six months earlier, moderate pressing continuous interictal pain without CASs had developed. Indomethacin farnesyl completely resolved the attacks but had no effect on the interictal pain. The patient was diagnosed with probable chronic paroxysmal hemicrania in accordance with the International Classification of Headache Disorders (ICHD-3) (third version). Continuous interictal pain gradually disappeared with a combination of indomethacin farnesyl and amitriptyline.
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spelling pubmed-88667992022-03-14 A Combination of Indomethacin Farnesyl and Amitriptyline Is Effective for Continuous Interictal Pain with Probable Chronic Paroxysmal Hemicrania Kikui, Shoji Miyahara, Junichi Sugiyama, Hanako Kohashi, Mutsuo Ota, Kuniko Danno, Daisuke Kashiwaya, Yoshihiro Takeshima, Takao Intern Med Case Report A 26-year-old woman with a history of migraine reported right-sided, severe stabbing orbital pain with cranial autonomic symptoms (CASs) for approximately 2 years. The attack duration was approximately 30 minutes, with a frequency of twice per day. Taking loxoprofen was ineffective. Six months earlier, moderate pressing continuous interictal pain without CASs had developed. Indomethacin farnesyl completely resolved the attacks but had no effect on the interictal pain. The patient was diagnosed with probable chronic paroxysmal hemicrania in accordance with the International Classification of Headache Disorders (ICHD-3) (third version). Continuous interictal pain gradually disappeared with a combination of indomethacin farnesyl and amitriptyline. The Japanese Society of Internal Medicine 2021-06-26 2022-02-01 /pmc/articles/PMC8866799/ /pubmed/34176839 http://dx.doi.org/10.2169/internalmedicine.7511-21 Text en Copyright © 2022 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Kikui, Shoji
Miyahara, Junichi
Sugiyama, Hanako
Kohashi, Mutsuo
Ota, Kuniko
Danno, Daisuke
Kashiwaya, Yoshihiro
Takeshima, Takao
A Combination of Indomethacin Farnesyl and Amitriptyline Is Effective for Continuous Interictal Pain with Probable Chronic Paroxysmal Hemicrania
title A Combination of Indomethacin Farnesyl and Amitriptyline Is Effective for Continuous Interictal Pain with Probable Chronic Paroxysmal Hemicrania
title_full A Combination of Indomethacin Farnesyl and Amitriptyline Is Effective for Continuous Interictal Pain with Probable Chronic Paroxysmal Hemicrania
title_fullStr A Combination of Indomethacin Farnesyl and Amitriptyline Is Effective for Continuous Interictal Pain with Probable Chronic Paroxysmal Hemicrania
title_full_unstemmed A Combination of Indomethacin Farnesyl and Amitriptyline Is Effective for Continuous Interictal Pain with Probable Chronic Paroxysmal Hemicrania
title_short A Combination of Indomethacin Farnesyl and Amitriptyline Is Effective for Continuous Interictal Pain with Probable Chronic Paroxysmal Hemicrania
title_sort combination of indomethacin farnesyl and amitriptyline is effective for continuous interictal pain with probable chronic paroxysmal hemicrania
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8866799/
https://www.ncbi.nlm.nih.gov/pubmed/34176839
http://dx.doi.org/10.2169/internalmedicine.7511-21
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