Top
40
Doctor insights on: Paroxysmal Hemicrania

Share
1

1
What is paroxysmal dystonia?

What is paroxysmal dystonia?

Paroxysmal dystonia: is muscle spasms and abnormal body movements that only happen at specific moments of the body. Paroxysmal dystonias do not affect the mind or the senses. ...Read more

2

2
What is Paroxysmal atrial fibrillation?

What is Paroxysmal atrial fibrillation?

Irregular pulse: Paroxysmal atrial fibrillation is an abnormal heart rhythm that is intermittent (or paroxysmal), arising from the upper chambers of the heart (or atria), and is very chaotic, or irregular (fibrillating). It can cause problems because it usually drives the heart rate up too fast (giving symptoms and eventually weakening the heart) and can increase the risk of stroke. Causes of PAF are multiple. ...Read more

See 1 more doctor answer
3

3
Is pulsatile tinnitus a symptom of migraine associated vertigo/vestibular migraine?

Is pulsatile tinnitus a symptom of migraine associated vertigo/vestibular migraine?

Pulsatile tinnitus: A number of health problems can cause the tinnitus. In many cases, an exact cause is never found. Rec.: see your PCP or ENT for further investigation. It is not a symptom of the migraine. ...Read more

4

4
Would paroxysmal atrial fibrillation cause mental impairment?

Would paroxysmal atrial fibrillation cause mental impairment?

Yes: Paroxysmal atrial fibrillation (afib) refers to a brief episode of irregular heart rhythm that may cause a variety of symptoms including confusion, palpitations, sweating, chest pain, nausea, vomiting, and sometime even stroke symptoms including changes in language, facial drooping, weakness, and numbness to name a few symptoms. It is important to be seen by a doctor to have a complete exam. ...Read more

5

5
Paroxysmal atrial tachycardia: what are the symptoms?

Paroxysmal atrial tachycardia: what are the symptoms?

PAT: Pat symptoms are the same as any tachycardia. Palpitations, heart rushing, lightheaded, short of breath, chest pain possible, pounding sensation in chest and perhaps other sensations by individual. ...Read more

6

6
Whats paroxysmal cough?

Whats paroxysmal cough?

Cough: Uncontrollable outburst of cough; it can be seen in pertussis. ...Read more

See 1 more doctor answer
7

7
What is benign rolandic epilepsy?

What is benign rolandic epilepsy?

Common condition: About 1 percent of all children will have symptoms of benign focal seizures. The eeg will show focal polyphasic discharges in the central-temporal region of the brain, and the child is otherwise normal. Events often occur from sleep. Common age is from 5 years to 12 years. Most are outgrown. There are many names but very similar symptoms. ...Read more

8

8
Is there familial hemiplegic migraine?

Is there familial hemiplegic migraine?

Yes: True hemiplegic migraines are rare, but they can run in families. There is genetic testing that can be done to see if you carry the genes that make you susceptible to this type of migraine. Talk to your doctor if you or your family members are experiencing this. ...Read more

9

9
44yo new onset migraines with aura. Inbetween migraines, having palinopsia, photophobia and vertigo spells. Vestibular migraines or something else?

44yo new onset migraines with aura. Inbetween migraines, having palinopsia, photophobia and vertigo spells. Vestibular migraines or something else?

Possible: Migraines can cause virtually any neurological symptoms. The rule out thumb is, rule out more serious causes first, so if you have not sought an evaluation yet, please do so. ...Read more

11

11
Ventricular tachycardia managment?

Ventricular tachycardia managment?

Ep: This is a serious condition and you must see an electrophysiologist. If normal heart, it is possible at your age to manage with medication but often can have an ablation and cure it. ...Read more

See 1 more doctor answer
12

12
Cluster headache treatments?

Cluster headache treatments?

Get the right meds!!: Pain from cluster headache is considered the worst pain that exists - for this reason they have been called "suicide" headaches. But, outstanding medications that can rapidly turn off this horrible pain exist. You must get to a headache doctor who really knows how to treat this disease - it is very different from migraines, etc. Options include oxygen, sumatriptan, verapamil, lithium, topiramate. ...Read more

See 3 more doctor answers
13

13
Is coitel migraine curable?

Is coitel migraine curable?

May be preventable: Like migraines, coital headaches are vascular headaches. Some of same medications that prevent migraines are also used in the prevention of coital headaches. Like finding the best prevention for an individual with migraines, it may take some trial and error to find the medication that works best for a person. For more info on migraines, see: http://understandingmigraine.blogspot.com/ ...Read more

See 1 more doctor answer
16

16
Is migraineous neuralgia a component of trigeminal neuralgia?

Is migraineous neuralgia a component of trigeminal neuralgia?

Migraineous: Neuralgia is not related to trigeminal neuralgia, but can be and often is mediated by the trigeminal nerve or brain stem nuclei. ...Read more

See 1 more doctor answer
17

17
How do I treat benign paroxysmal positional vertigo?

How do I treat benign paroxysmal positional vertigo?

Epley Maneuvers: First make sure that your physician really thinks you have bppv. If so, then you may try the epley maneuvers. You can find online videos that show you how to correctly perform these. Sometimes we use medications to help with symptoms. Lastly, seeing an ENT and going through vestibular rehabilitation may help. Good luck. ...Read more

18

18
Body pain, headaches, hypersensitivity to light, sound, anxiety, hashimotos, pineal cyst, arrhythmia, tremor, headaches, fatigue, tinnitus.20mds.Nohelp?

Body pain, headaches, hypersensitivity to light, sound, anxiety, hashimotos, pineal cyst, arrhythmia, tremor, headaches, fatigue, tinnitus.20mds.Nohelp?

Wow!: That's a lot of things going on. 20 medications??? I would start all over - get a second opinion from a doctor who specializes in Integrative Medicine. You need to find a doctor who will work with you to decrease the # of medications! ...Read more

See 1 more doctor answer
19

19
What symptoms characterize trigeminal neuralgia?

What symptoms characterize trigeminal neuralgia?

See below: Trigeminal neuralgia symptoms may include one or more of these patterns: occasional twinges of mild pain episodes of severe, shooting or jabbing pain spontaneous attacks of pain or attacks triggered by things such as touching the face, chewing, speaking and brushing teeth bouts of pain lasting from a few seconds to several seconds episodes of several attacks lasting days. ...Read more

See 1 more doctor answer
20

20
What is familial paroxysmal polyserositis?

What is familial paroxysmal polyserositis?

Familial Mediterrane: This is more commonly known as Familial Mediterranean Fever. This is a genetic illness, commonly found in people who lived around the Mediterranean that is inflammatory and causes a variety of symptoms with a fever and attacks of abdomenal pain, joint attacks, chest pain, muscle aches, skin rashes. Your physicians can help clarify how it affects you. ...Read more

21

21
Hi! Do you know anyways to get relief from paroxysmal hemicrania?

Hi! Do you know anyways to get relief from paroxysmal hemicrania?

Specific treatments: There are specific therapies associated with PH - however, they need to be administered judiciously. A neurologist would be the best person to speak with and follow you if this is your diagnosis. ...Read more

22

22
What is the process of being dx with paroxysmal hemicrania? Is it a complicated diagnosis or is recognizable?

What is the process of being dx with paroxysmal hemicrania? Is it a complicated diagnosis or is recognizable?

Rare conditions: Paroxysmal Hemicrania is a rare condition. However, it should be recognizable to a neurologist. The process of being diagnosed would be if one's symptoms matched the disease state, clawlike headaches radiating to the back of the neck, associated with nasal congestion and sometimes ptosis. This type of headache is a "zebra" because other types of headache are more common.http://tinyurl.com/5had5z ...Read more

23

23
Possible paroxysmal hemicrania not responding to any medication after 8 months. Started getting worse. Should I get more scans/tests?

Possible paroxysmal hemicrania not responding to any medication after 8 months. Started getting worse. Should I get more scans/tests?

Headache: Are you seeing a headache specialist or neurologist? If not,get a consultation at a headache clinic and appropriate tests will be done in order to make a diagnosis and get you proper treatment. ...Read more

24

24
What should I know about cph - chronic paroxysmal hemicrania?

What should I know about cph - chronic paroxysmal hemicrania?

Tough to treat: This can be quite debilitating to some, but many treatments are avaiable. Indocin belongs to the antiinflammatory meds and it is often first choice, but does not work for everyone. There are other classes/meds used for this: calcium chanel blockers (i.E verapamil), steroids (prednisone), acetazolamide, and topamax (topiramate) have been used successfully in many patients. So, consult doc. Good luck. ...Read more

See 1 more doctor answer
26

26
What surgical or alternative (not drugs) treatments are available for chronic paroxysmal hemicrania?

What surgical or alternative (not drugs) treatments are available for chronic paroxysmal hemicrania?

Want surgery?: There is NO surgery that is beneficial. Drugs such as Indocin, (indomethacin) Lithium, even Naproxen might be useful. OTC includes butterbur, feverfew, magnesium, riboflavin, CoQ-10. Did you see a doctor and discuss this? ...Read more

27

27
Can someone please explain to me what Benign Paroxysmal Hemicrania is exactly? I get bad migraines that ONLY respond to Toradol in ER or Indomethacin

Hemicrania: Hemicrania is a form of headache that is similar to migraine and cluster headaches. It normally occurs on one side, and there may be tears, a stuffy nose, or eyelid changes. It responds to indomethacin, normally the other two kinds of headaches do not. http://www.ninds.nih.gov/disorders/hemicrania_continua/hemicrania_continua.htm ...Read more

See 2 more doctor answers
28

28
How do doctors diagnosis Paroxysmal Hemicrania? Like how what are the characteristics of these type of headaches? Sorry for so many headache questions trying get to the bottom of what's wrong with me.

How do doctors diagnosis Paroxysmal Hemicrania? Like how what are the characteristics of these type of headaches? Sorry for so many headache questions trying get to the bottom of what's wrong with me.

Well...: The best way to diagnose such a condition is through a good history and physical by your doctor/neurologist. There is no specific blood test per se but the absence of other findings on CT/MRI/LP for a continuous unilateral headache 3 months or longer with response to NSAID's with or without other associated symptoms not typical of migrainous headaches should make the diagnosis. Best wishes!! ...Read more

See 3 more doctor answers
31

31
If Idomethacin is such a dangerous drug, why do Dr.'s still prescribe it? Is there something better? I'm diagnosed with Hemicrania Continua.

Indomethacin is KING: DANGEROUS-strong word. Most significant GI side effects are GI which is why 20% of patients with side effects stop drug due to side effects of a GI nature. It's the BEST drug available to treat HC. Response to the drug is often diagnostic of the headache. BUT, recent studies suggest BOTOX MAY be good option. Wanna Chat? www.healthtap.com/drsaghafi Use Key Code: PDXFNR P.S. Your doc sure it's HC? ...Read more

32

32
Diagnosed with hemicrania continua.Indomethacin is not working.What next?

Hemicrania continua: How much indomethacin have you tried? If you gave it a try, perhaps a prevention medicine, such as amitriptyline, would help you. http://www.ninds.nih.gov/disorders/hemicrania_continua/hemicrania_continua.htm ...Read more

See 3 more doctor answers
33

33
With hemicrania continua, is there anything that can be done medically/surgically or just with indomethacin and other drugs?

With hemicrania continua, is there anything that can be done medically/surgically or just with indomethacin and other drugs?

See below: Indomethacin is the best medication. For those that can't tolerate it Celexa (citalopram) has been helpful. Tricyclic antidepressants have also been used.Other medications with case reports of efficacy include melatonin, topiramate, verapamil and gabapentin. Radio frequency ablation of supraorbital branch of trigeminal N, Botox, and deep brain stimulation have been used. ...Read more

34

34
Indomethacin for hemicrania continua. Based on 1 week of use, one 25mg pill kills pain for near 24hrs. Ok to use it this way rather than 3x day as rx.

Hemicrania continua: is an indomethacin-responsive headache disorder. The appropriate dose will vary among patients. The initial dose is that dose which results in resolution of headache, and in your case 25 mg. However, always ask your doctor for more information about your individual situation. ...Read more

See 1 more doctor answer
35

35
Can cold weather bring on Hemicrania Continua?

Not typically: Although stress is thought to be a trigger one could make a case for the stress of cold weather but it has not been definitively proven to be a known trigger. If one has the diagnosis of hemicrania continua, indomethacin treatment should be started. ...Read more

36

36
What is hemicrania continua? If indocin (indomethacin) does not relieve the pain, do I have any other options?

What is hemicrania continua? If indocin (indomethacin) does not relieve the pain, do I have any other options?

1-sided headache : Hemicrania = headache on one side; continua means prolonged/continuous pain. Indocin belongs to the antiinflammatory meds and it is often first choice, but does not work for everyone. There are other classes used for this: calcium chanel blockers (i.E verapamil), steroids (prednisone), acetazolamide, and topamax (topiramate) have been used successfully in many patients. So, consult doc. Good luck. ...Read more

See 1 more doctor answer
37

37
Dr suspects Hemicrania Contiinua but mri came back clean. I'm currently on Idomethacain yet still have headache in same spot off/on for over a year.

Dr suspects Hemicrania Contiinua but mri came back clean. I'm currently on Idomethacain yet still have headache in same spot off/on for over a year.

HC: Often headache MDs use indomethacin as a tool to identify if a constant unilateral head pain is hemicrania continua/other trigeminal autonomic cephalgia... I assume you have expressed the lack of effectiveness of the medication to your physician, as most MDs do not keep pts on indomethacin. Other causes are possible... ...Read more

38

38
I’ve been diagnosed with hemicrania continua in November.I’m on indomethacin since but I still get a headache every few hours in the day which lasts about 15mins. Not constant and extensive pain as before but it’s somewhat there. Will it ever end?

I’ve been diagnosed with hemicrania continua in November.I’m on indomethacin since but I still get a headache every few hours in the day which lasts about 15mins. Not constant and extensive pain as before but it’s somewhat there. Will it ever end?

It might but: rare type of one sided headache any nonsteroidal like indocin can be tried but i like excedrin , has it all [acetaminophen, aspirin[prevents blood clots,strokes,heart attacks] and caffiene which boosts the effects of others] and can add amitryptiline [antidepressantwhich soemtimes helps] be sure no cause like sleep apnea, overweight, smoking, too much alcohol , stress , not eating right , relax ...Read more

39

39
Can i take topamax (topiramate) (50mg) for two weeks safely to assist weight loss. Was prescribed for my hemicrania but i disliked side effects with long term use.

Can i take topamax (topiramate) (50mg) for two weeks safely to assist weight loss. Was prescribed for my hemicrania but i disliked side effects with long term use.

Safe- will it work?: It is safe to use topamax (topiramate) for this, but it is not helpful for most people for weight loss. It is better as a preventer for seizures or headaches. ...Read more

See 1 more doctor answer
40

40
My doc believes I have Hemicrania Continua. What is that. He has me on indomethacin. How safe is this drug. I go for an MRI.

Continuous headache: Hemicrania continua is a continuous (or very persistent) headache that affects only one side of the head (right or left) usually towards the temple. If this is your first time experiencing these symptoms, if there are other neurologic symptoms (vision problems, tingling, weakness, etc), or if its the "worst headache of your life", the imaging my be appropriate, though chances are it'll show nothin ...Read more