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Table 1 Demographic details of patients and treatment

From: OnabotulinumtoxinA for Hemicrania Continua: open label experience in 9 patients

 

Sex

Age at treatment (years)

Duration of HC at treatment (years)

Phenotype of HC

Indomethacin dose required to suppress HC

Co-existent headache

Previous number of treatments trialled

Reasons for administering BoNT-A

No of sessions of BoNT-A treatments

Average units injected

Location

Autonomic symptoms *

Migrainous symptoms Ŧ

1

M

19

1

Right

Yes

Nil

225 mg daily

EMWOA (Bilateral)

4

Worsening EM on Indometacin

4

168

2

F

61

1

Left

Yes

Yes Visual Aura

150 mg daily

Nil

4

GI-upset

3

165

3

M

59

12

Right

Yes

Nil

IM Indometacin test**

Nil

13

Unable tolerate Indometacin; Refractory to other treatments; ONS in-situ

2

175

4

M

48

2

Right

Yes

Yes Visual Aura (occasional)

150 mg daily

EMWA (bilateral, once month)

9

GI-upset; peptic ulcer disease; refractory to other treatments - awaiting ONS

2

165

5

F

47

9

Right

Yes

Yes

225 mg daily

Past EMWOA (stopped 2004)

3

GI-upset

5

167

6

F

49

34

Right

Yes

Yes

150 mg daily

EMWA (bilateral, once month)

6

GI-upset; refractory to other treatments; ONS in-situ

2

110

7

F

48

18

Left

Yes

Yes

IM Indometacin test**

ISH

13

GI-upset

2

155

8

F

41

8

Right

Yes

No Visual Aura

150 mg daily

EMWOA (side variable/bilateral)

7

GI-upset; wheeze; dizziness; worsening EM

6

168

9

F

54

4

Right

Yes

Yes

225 mg daily

Nil

9

GI-upset

2

185

Mean

 

47

10

     

8

 

3

162

Median (Range)

 

48 (19–61)

8 (1–34)

     

7 (3-13)

 

2 (2-6)

167 (110–185)

  1. M, Male; F, Female; HC, Hemicrania continua; EMWA, Episodic migraine with aura; EMWOA, Episodic migraine without aura ISH, Idiopathic stabbing headache; BoNT-A, OnabotulinumtoxinA; GI, Gastrointenstinal; ONS, Occipital nerve stimulator; IQR, Inter-quartile range; *Autonomic symptoms including ptosis, lacrimation, conjunctival injection, meiosis, nasal blockage, rhinorrhea, facial redness, facial sweating, eyelid oedema, restlessness; ŦMigrainous symptoms including nausea, vomiting, photophobia, phonophobia, osmophobia, motion sensitivity; **IM Indometacin test blinded placebo test of 100 mg IM Indometacin v normal saline.