Hypnic headache associated with medication overuse: Case report
Yakın zamanda değerlendirdiğimiz 54 yaşında kadın, hikayesinde aurasız migren başağrısı dışında tipik hipnik başağrısı (HH) mevcut. Büyük ihtimalle primer başağrısı olmayan ergotamin aşırı kullanımı ile ilişkili başağrısı vardı. Hasta, hiçbir analjezik kullanmamaya cesaretlendirilerek ve metoklopramide günlük 75 mgr amitriptilin eklenerek oluşturulan washout protokolü ile rahatlatıldı. Amacımız tek hastada bu nadir ilişkiyi ve olası patofizyolojik etkileri vurgulamaktır.
Anahtar Kelimeler:
Amitriptilin, Metoklopramid, Orta yaşlı, Başağrısı bozuklukları, birincil, Kadın
We have recently evaluated a 54-year-old woman who had migraine without aura in her history but presenting with a typical hypnic headache (HH) which is presumably not a primary headache but associated with an ergotamine overuse headache. Her HH was relieved with a washout protocol which includes 75 mg amitriptyline daily with the addition of metoclopramide and encouraging her not to use any analgesics. Our aim was to report this unique patient to emphasize this rare association and to discuss the possible pathophysiological implications for both of these entities.
Keywords:
Amitriptyline, Metoclopramide, Middle Aged, Headache Disorders, Primary, Female,
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- Raskin NH. The hypnic headache syndrome. Headache. 1988 28: 534–536.
- Headache Classification Committee of the International Headache Society. The International Classification of Headache Disorders. Cephalalgia. 2004;24:1–160.
- Evers S, Goadsby PJ. Hypnic headache: clinical features,pathophysiology, and treatment. Neurology. 2003; 60:905–909.
- Peatfield RC, Mendoza ND. Posterior fossa meningioma presenting as hypnic headache. Headache. 2003; 43:1007-1008.
- Moon HS, Chung CS, Kim HY, Kim DH. Hypnic headache syndrome: report of a symptomatic case. Cephalalgia.2003; 23: 673-674.
- Karli N, Ertas M, Baykan B, Uzunkaya O, Saip S, Zarifoglu M, Siva A, MIRA study group. The validation of ID migraine screener in neurology outpatient clinics in Turkey. J Headache Pain. 2007;8 :217-223.
- Limmroth V, Katsarava Z, Fritsche G, Przywara S, Diener HC.Features of medication overuse headache following overuse of different acute headache drugs. Neurolog.y 2002; 59:1011-1014.
- Relja G, Zorzon M, Locatelli L, Carraro N, Antonello RM,Cazzato G. Hypnic headache: rapid and long-lasting response to prednisone in two new cases. Cephalalgia.2002; 22: 157–159.
- Bendtsen L, Mattsson P, Zwart JA, Lipton RB. Placebo response in clinical randomized trials of analgesics in migraine.Cephalalgia. 2003; 23: 487–490.
- De Simone R, Marano E, Ranieri A, Bonavita V. Hypnic headache: an update. Neurol Sci. 2006 ;27 Suppl 2:S144-1448.
- Schürks M, Kastrup O, Diener HC. Triptan responsive hypnic headache? European Journal of Neurology. 2006, 13:666–667
- Sances G, Ghiotto N, Loi M, Guaschino E, Marchioni E, Catarci T, Nappi G.A CARE: pathway in medication-overuse headache: the experience of the Headache Centre in Pavia. J Headache Pain. 2005;6:307-9.
- Dodick DW. Polysomnography in hypnic headache syndrome.Headache 2000;40:748–752.
- Sahota PK, Dexter JD. Sleep and headache syndromes: a clinical review. Headache. 1990; 30: 80–84.
- Dodick DW, Mosek AC, Campbell JK. The hypnic ("alarm clock") headache syndrome. Cephalalgia. 1998; 18:152–156.
- ISSN: 1300-0012
- Yayın Aralığı: Yılda 4 Sayı
- Başlangıç: 2018
- Yayıncı: Ali Cangül
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Hypnic headache associated with medication overuse: Case report
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