Paroxysmal Hemicrania

Exam Cram

• Presentation: frontotemporal headaches- sudden onset, 20/d associated with red eyes, tearing & nasal congestion, lasting 2-10 mins

• Diagnosis: clinical, nil investigations

• Acute Management: Indometacin

Outline

Differentials: Cluster Headache 

Management

Acute

1. NSAIDs- e.g. indometacin +- PPI cover

Long term prophylaxis

1. Aspirin + diclofenac

2. Verapamil

References and Resources

Written in 2025