01 January 2005
Chronic Paroxysmal Hemicrania with Trigeminal Neuralgia: the CPH-tic Syndrome
Michał Pryszmont, Barbara Pawlak-Tumiel, Helena Zalewska Zalewska, Jan KochanowiczCase Rep Clin Pract Rev 2005; 6:239-241 :: ID: 429258
Abstract
Background: In 1993 Hannerz described the syndrome, chronic paroxysmal hemicrania which occurs simultaneously with trigeminal neuralgia, the CPH-tic syndrome. This extremely painful syndrome always occurs in the same patients on the same side of the face. This syndrome is very difficult to diagnose and so such patients are frequently given the wrong treatment.
Case Report: The present author describes cases of this syndrome in two female patients, one 61 years old, the other 73. Patient No 1 had been treated as an out-patient for pain (probably type CPH) in the
left cheek but no improvement of her condition was achieved. Then pains of the tic-doloreux type
also occurred on the same side of her face. The out-patient treatment gave little effect. It was only
when she was treated in a hospital neurological department and indomethacin was added to the
tic doloreux treatment that a marked improvement was noted. Patient No 2. This patient suffered from intolerable pains in the right half of her face and forehead, treated in the out-patients clinic for neuralgia of the 1st and 2nd divisions of the trigeminal nerve without any significant improvement. Complete alleviations of the pains only occurred when she was treated in the Neurological Department where indomethacin was added to the treatment for
tic-doloreux.
Conclusions: 1. Concomitant occurrence of the CPH and tic-doloreux syndromes on the same side of the face
in the same patient is difficult to diagnose.
2. In case of such patients, indomethacin should be added to the usual treatment of trigeminal
neuralgia.
Keywords: CPH-tic syndrome, chronic paroxysmal hemicrania, Trigeminal Neuralgia
36
In Press
06 Mar 2024 : Case report
Successful Healing of Periapical Pathology with Partial Pulpotomy in a Mature Permanent Molar: A Case ReportAm J Case Rep In Press; DOI: 10.12659/AJCR.942937
12 Mar 2024 : Case report
Successful Treatment of Lithium-Induced Nephrogenic Diabetes Insipidus with Celecoxib: A Promising Therapeu...Am J Case Rep In Press; DOI: 10.12659/AJCR.943244
13 Mar 2024 : Case report
Recurrent Marginal Zone Lymphoma with Bone Marrow Involvement Detected by ¹⁸F-FDG PET/CT and Biopsy: A Diag...Am J Case Rep In Press; DOI: 10.12659/AJCR.943275
13 Mar 2024 : Case report
Unveiling the Temporal Aspect of MRI Tattoo Reactions: A Prospective Evaluation of a Newly-Acquired Tattoo ...Am J Case Rep In Press; DOI: 10.12659/AJCR.943411
Most Viewed Current Articles
07 Mar 2024 : Case report
Neurocysticercosis Presenting as Migraine in the United StatesDOI :10.12659/AJCR.943133
Am J Case Rep 2024; 25:e943133
10 Jan 2022 : Case report
A Report on the First 7 Sequential Patients Treated Within the C-Reactive Protein Apheresis in COVID (CACOV...DOI :10.12659/AJCR.935263
Am J Case Rep 2022; 23:e935263
19 Jul 2022 : Case report
Atlantoaxial Subluxation Secondary to SARS-CoV-2 Infection: A Rare Orthopedic Complication from COVID-19DOI :10.12659/AJCR.936128
Am J Case Rep 2022; 23:e936128
23 Feb 2022 : Case report
Penile Necrosis Associated with Local Intravenous Injection of CocaineDOI :10.12659/AJCR.935250
Am J Case Rep 2022; 23:e935250