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

dc.contributor.authorDissanayake, K.P.
dc.contributor.authorWanniarachchi, D.P.
dc.contributor.authorRanawaka, U.K.
dc.date.accessioned2017-08-01T09:05:56Z
dc.date.available2017-08-01T09:05:56Z
dc.date.issued2017
dc.descriptionIndexed In MEDLINEen_US
dc.description.abstractBACKGROUND: 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.identifier.citationBMC Research Notes.2017;10(1):318en_US
dc.identifier.issn1756-0500 (Electronic)
dc.identifier.issn1756-0500 (Linking)
dc.identifier.urihttp://repository.kln.ac.lk/handle/123456789/17073
dc.language.isoen_USen_US
dc.publisherBiomed Centralen_US
dc.subjecthypnic headacheen_US
dc.titleCase report of hypnic headache: a rare headache disorder with nocturnal symptomsen_US
dc.typeArticleen_US

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