Hemicrania continua (HC) is an idiopathic, chronic disorder characterized by a continuous, strictly unilateral headache associated with ipsilateral cranial autonomic symptoms. The symptoms of HC typically respond dramatically to indomethacin therapy. We describe a patient with traumatic internal carotid artery (ICA) dissection, who presented with a clinical picture mimicking HC that initially responded to indomethacin. Patients with a clinical picture similar to HC should be managed with a high index of suspicion for a possible cervical arterial dissection.
Recommended CitationAshkenazi, Avi; Abbas, Muhammad A.; Sharma, Dinesh K.; and Silberstein, Stephen D., "Hemicrania continua-like headache associated with carotid dissection may respond to indomethacin" (2007). Department of Neurology Faculty Papers. Paper 13.