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Original Research

Open Access

Chronic Paroxysmal Hemicrania: A Case Report and Review of the Literature

  • Eleni Sarlani1,*,
  • Anthony H. Schwartz2
  • Joel D. Greenspan1
  • Edward G. Grace2

1Department of Oral and Craniofacial Biological Sciences, Brotman Facial Pain Center, Dental School, University of Maryland, Baltimore, Baltimore, Maryland

2Department of Oral Health Care Delivery, Brotman Facial Pain Center, Dental School, University of Maryland, Baltimore, Baltimore, Maryland

DOI: 10.11607/jofph.1774 Vol.17,Issue 1,March 2003 pp.74-78

Published: 30 March 2003

*Corresponding Author(s): Eleni Sarlani E-mail:

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Abstract

Chronic paroxysmal hemicrania (CPH) is a rare type of headache that is characterized by daily, multiple, short-lasting attacks of severe pain and associated autonomic symptoms. The pain is strictly unilateral and presents most commonly in the ocular, tem-poral, maxillary, and frontal areas. The excruciating, throbbing pain of CPH can be misdiagnosed as pain associated with dental pathology, especially when located in the maxillary area. Moreover, pain manifesting in the maxillary and temporal areas can be confused with temporomandibular disorders. CPH patients occasionally seek treatment in dental offices or orofacial pain cen-ters. Accordingly, dentists should be familiar with CPH in order to avoid unnecessary, irreversible dental treatment. A case is pre-sented to highlight many of the features of CPH.

Keywords

chronic paroxysmal hemicrania; unilateral headache; indomethacin; orofacial pain

Cite and Share

Eleni Sarlani,Anthony H. Schwartz,Joel D. Greenspan,Edward G. Grace. Chronic Paroxysmal Hemicrania: A Case Report and Review of the Literature. Journal of Oral & Facial Pain and Headache. 2003. 17(1);74-78.

URL:

https://www.jofph.com/articles/10.11607/jofph.1774

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