Letters to the editor
Lunchtime headache
| The first 150 words of the full text of this article appear below. |
Chronic primary unilateral headaches fall into one of five
categories: chronic cluster headache, chronic paroxysmal hemicrania, hemicrania continua, cervicogenic headache, and SUNCT syndrome. Overlap
between types is recognised. Although the differentiation of these is
sometimes difficult, there are important therapeutic implications
for
example, indomethacin has a dramatic effect on chronic paroxysmal
hemicrania but is less effective in chronic cluster headache. Here, a
patient with paroxysmal unilateral headaches, occurring precisely on
the same day of the week and at the same time, is described.
A 57 year old man presented with episodic, right sided, moderate to
severe headaches of 9 months' duration. He developed these always on a
Monday at 1300 hours. The headaches were sharp and throbbing with the
maximum pain behind the right eye. The headache then radiated to the
back of the head without crossing the midline. The pain was felt in
paroxysms each lasting several minutes. He did not experience
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