Hamit Macit SELEKLER, Özden TEMEL, AYŞE KUTLU

Mevsimsel artma ve azalma gösteren episodik paroksismal hemikrania Episodic paroxysmal hemicrania with seasonal waxing and waning pattern

Paroksismal hemikrania’nın önce kronik formu tanımlanmıştır. Önceleri episodik formun kaçınılmaz olarak kronikleştiği düşünülse de, yıllar içinde, konik safhaya geçmeyen episodik tiplerinin de bulunduğunun farkına varılmıştır. Görülme sıklığının 1/50.000 olduğu tahmin edilen paroksismal hemikrania’nın, episodik formu, kronik formuna göre ¼ oranındadır. Literatürde üç olgu ile sınırlı olan, küme başağrısı gibi, mevsimsel olarak ortaya çıkan tipleri de bildirilmiştir. Bu yazıda, 40 yıl gibi uzun süredir episodik kalan ve mevsimlere göre sıklığı değişen ataklarla kendini gösteren bir olgu sunuldu.

Episodic paroxysmal hemicrania with seasonal waxing and waning pattern

The chronic form of paroxysmal hemicrania was defined first. Although the episodic form was thought to be inevitably chronic, in time, episodic forms that never reach the chronic phase were identified. The supposed incidence of paroxysmal hemicrania is 1/50.000, and the ratio of the episodic to chronic form is 1: 4. A seasonal type of episodic form, which is limited to three cases in the literature, has also been reported. In this article, a case who remained episodic for 40 years with seasonal waxing and waning attack variations is reported.

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