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2016 ; 5
(ä): 347
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Linear headache: clinical characteristics of eight new cases
#MMPMID27057481
Lu YN
; Pan QQ
; Pan JF
; Wang L
; Lu YY
; Hu LH
; Wang Y
Springerplus
2016[]; 5
(ä): 347
PMID27057481
show ga
BACKGROUND: Linear headache (LH) has recently been described as a paroxysmal or
continuous fixed head pain restricted in a linear trajectory of 5-10 mm in width,
linking one endpoint in occipital or occipitocervical region with another
endpoint in ipsilateral nasion or forehead region. For some patients, this
headache had some features resembling migraine without aura. METHODS: We made a
prospective search of patients presenting with a clinical picture comprised under
the heading of LH and we have accessed eight new cases. A detailed clinical
feature of the headache was obtained in all cases to differentiate with cranial
neuralgia, paroxysmal hemicrania, cervicogenic headache, nummular headache and
migraine. RESULTS: The eight LH patients complained of a recurrent moderate to
severe, distending, pulsating, or pressure-like pain within a strictly unilateral
line-shaped area. The headache duration would be ranged from 1 h to 2 days or
persistent for 1-6 months with recurrent worsening of headaches. For some
patients, this headache had couple of features similar to that of migraine
pattern, such as accompaniments of nausea, vomiting, and phonophobia, diziness,
triggering factors of noise, bright night, resting after physical activity,
fatigue, menstruation, and response to anti-migraine therapy. CONCLUSIONS: This
description reinforces the proposal of LH as a new headache syndrome or a new
variant of a previously known headache syndrome, probably of migraine.