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Case report of hypnic headache: a rare headache disorder with nocturnal symptoms

Show simple item record Dissanayake, K.P. Wanniarachchi, D.P. Ranawaka, U.K. 2017-08-01T09:05:56Z 2017-08-01T09:05:56Z 2017
dc.identifier.citation BMC Research Notes.2017;10(1):318 en_US
dc.identifier.issn 1756-0500 (Electronic)
dc.identifier.issn 1756-0500 (Linking)
dc.description Indexed In MEDLINE en_US
dc.description.abstract BACKGROUND: Headache is one of the commonest complaints reported to physicians worldwide. Yet, arriving at the proper diagnosis can be a challenge in many patients. Although most headaches belong to common categories of migraine and tension-type headache, which are diagnosed and managed relatively easily, several uncommon headache disorders can lead to delays in diagnosis. Certain medications are more efficacious than others in managing these headache disorders, hence establishing the correct diagnosis is of paramount importance. CASE PRESENTATION: An 86-year-old female presented with chronic daily headache of 1 year duration. Her headaches were exclusively nocturnal and woke her up daily around midnight. Clinical examination was unremarkable. All basic investigations were normal. Subsequent gadolinium enhanced Magnetic Resonance Imaging (MRI) brain did not show any significant pathology. There was no satisfactory response to paracetamol, diclofenac sodium, mefenamic acid, tramadol, flunarizine and sodium valproate. Indomethacin was started with the provisional diagnosis of hypnic headache. There was absolute response by day 3 of indomethacin. She remains headache free on low dose indomethacin maintenance at 1 year after the diagnosis. CONCLUSION: Better understanding of uncommon headache syndromes can help in early diagnosis and appropriate treatment. Hypnic headache should be considered in the differential diagnosis of chronic daily headaches, especially when nocturnal and occurs during sleep. en_US
dc.language.iso en_US en_US
dc.publisher Biomed Central en_US
dc.subject hypnic headache en_US
dc.title Case report of hypnic headache: a rare headache disorder with nocturnal symptoms en_US
dc.type Article en_US

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