Korean J Fam Med.
2025 Jan;46(1):48-51. 10.4082/kjfm.24.0178.
Hemicrania continua with rhinosinusitis: a case report
- Affiliations
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- 1Department of Family Practice, Keimyung University School of Medicine, Daegu, Korea
- 2Department of Neuroscience, Wellesley College, Wellesley, MA, USA
- KMID: 2564010
- DOI: http://doi.org/10.4082/kjfm.24.0178
Abstract
- Hemicrania continua (HC) is an indomethacin-responsive headache, characterized by unilateral and continuous headaches with cranial autonomic symptoms. Various pathologies, including sinus-related conditions, are associated with HC. Here, we report the case of a 62-year-old man with HC and rhinosinusitis. The patient complained of a unilateral continuous headache with ipsilateral cranial autonomic symptoms, conjunctival injection, and eyelid edema for 20 months. HC was identified as a potential diagnosis based on the symptom criteria, and a response to indomethacin confirmed the diagnosis. Trigeminal autonomic cephalalgia should be considered in patients with unilateral headaches and cranial autonomic symptoms.
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