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Bilateral paroxysmal hemicrania with autonomic features in a child: A case report

Korean Journal of Pediatrics 2009;52(5):619-621.
Published online May 15, 2009.
Bilateral paroxysmal hemicrania with autonomic features in a child: A case report
Young Il Rho
Department of Pediatrics, School of Medicine, Chosun University, Gwangju, Korea
소아에서 자율신경계의 증상을 동반한 양측 돌발 반두통 1예
노영일
조선대학교 의과대학 소아과학교실
Correspondence: 
Young Il Rho, Email: young@chosun.ac.kr
Abstract
Paroxysmal hemicrania (PH) is rare in children and not widely recognized. It is characterized by pain attacks and associated symptoms and signs similar to those experiencing cluster headaches, but the features have a shorter effect, are more frequent, and respond completely to indomethacin. Some patients with PH may experience slight pain across the midline. There are only four cases of bilateral PH in the literature and it is very rare in children. Here, I report the case of a 10-year- old female with bilateral PH diagnosed by the typical symptoms along with the favorable response to indomethacin therapy.
Key Words: Bilateral paroxysmal hemicrania, Indomethacin, Child


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