Table 2 Atypical Cases of parosysmal hemicrania
| Â | Case 1 | Case 2 | Case 3 | Case 4 | Case 5 |
|---|---|---|---|---|---|
Age | 34 | 36 | 24 | 40 | 42 |
Sex | M | F | F | M | F |
Duration of illness (months) | 9 | 14 | 9 | 6 | 24 |
Course | Chronic | Chronic | Chronic | Chronic | Chronic |
Laterality | Right | Left | Left | Right | Right |
Site of pain | Orb, tem, | Orb, tem, front | Orb, tem | Orb, tem, front | Orb, tem, |
Character of pain | Severe, throb, nonthrob | Severe non throb | Severe throb | Severe nonthrob | Severe throb, |
Interictal pain | Yes | – | – | – | – |
Autonomic features | – | – | lacri, conj | conj, rhin | Conj, lacri, |
Migrainous features | nau, phot, | nau, | – | nau, phot, phon | – |
Restlessness | yes | yes | yes | yes | yes |
Nocturnal attacks | yes | yes | – | yes | yes |
Frequency of attacks ( range /day) | 4–10 | 4–15 | 0–5 | 1–4 | 5–15 |
Duration of attacks | 5–20 min | Few sec- 20 min | 5–20 min | 5–30 min | 5–20 min |
Response to indomethacin | Â | Â | Â | Â | Â |
| Â | Complete | Complete | Complete | Complete | Incomplete |
Doses (mg/day) | 150 | 75 | 150 | 75 | 225* |
Days taken to show complete response | 4 | 2 | 4 | 3 | – |
Side effects of indomethacin | pain abd, | – | Nau, vom | – | – |