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Wiley InterScience

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Hemicrania Continua: A Case Responsive to Piroxicam-Beta-Cyclodextrin
M. Trucco F. Antonaci * G. Sandrini *
  Department of Neurology, Ospedali Riuniti di Pietra e Finale Ligure, 17027 Pietra Ligure (SV), Italy.   *University Center for Adaptive Disorders and Headache (UCADH), Unit of Pavia, via Palestro 3, 27100 Pavia.
Copyright © 1992 American Headache Society (formerly the American Association for the Study of Headache)
KEYWORDS
headache • hemicrania continua • indomethacin • piroxicam-beta-cyclodextrin

ABSTRACT

SYNOPSIS

The case of a 53-year-old woman is described, who since the age of 38 years had been suffering from a unilateral headache that was at first remitting, but then evolved into an unremitting course. The headache was burning in quality, located in the left forehead and face, and was accompanied by mild ipsilateral autonomic symptoms. The clinical picture, as well as the absolute response to indomethacin, suggested a diagnosis of hemicrania continua. The presence of mild gastric discomfort on continuous indomethacin administration made us transfer the patient to another NSAID (piroxicam-beta-cycIodextrin). With this drug, complete relief and good tolerability was obtained.


Accepted for Publication: October 4, 1991.

DIGITAL OBJECT IDENTIFIER (DOI)
10.1111/j.1526-4610.1992.hed3201039.x About DOI

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