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J Korean Neurol Assoc. 2018 May;36(2):113-115. Korean. Case Report.
Hwangbo S , Choi B , Choi I , Kim HS , Chu MK , Shin HY , Kim SM .
Department of Neurology, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.
Department of Neurology, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.

Hemicrania continua (HC) is an indomethacin-responsive primary headache. Owing to continuous unilateral headache and clinical rarity, a great attention should be paid during the diagnosis of HC to exclude secondary causes of headache. Various pathologies have been described for HC-like headache. We describe a 64-year old man with invasive sphenoid sinus aspergillosis who presented continuous unilateral headache, trigeminal autonomic symptoms and response to oral indomethacin 225 mg/day. He was treated with intranasal ethmoidectomy and antifungal agent, and his headache has greatly improved.

Copyright © 2019. Korean Association of Medical Journal Editors.