Case Studies in Uncommon Headache Disorders

Ambar Chakravarty MD FRCPC FRCP FRCPE FIANHonorary Professor and Emeritus Consultant in Neurology, Vivekananda Institute of Medical Science, Kolkata, West Bengal, India; Past President, Indian Academy of Neurology (2005-2006)

• Section 1: The MigrainesCommentary 1: Chronology of Acute Migraine AttackCASE 1: A Young Boy with Recurrent Headaches and Visual LossCASE 2: A Middle-aged Man with Headache, Visual Disturbance, and RecurrentEpisodes of Confusion and Altered SensoriumCommentary 2: Diagnosis and Acute Treatment of Migraine: Current TrendsCommentary 3: Pharmacological Prophylaxis for Migraine: Current TrendsCommentary 4: Calcitonin Gene-related Peptide Antagonists in Migraine Treatment: To Use or Not to Use?Commentary 5: Monoclonal Antibodies against Calcitonin Gene-related Peptide: For Whom to Use?CASE 3: A Doctor with Unremitting HeadacheCASE 4: An Unusual Cause of Febrile Encephalopathy in a Migraine PatientCommentary 6: Non-headache Symptoms of Migraine and Their Pathophysiology and ManagementCommentary 7: Genetics of Familial Hemiplegic MigraineCASE 5: A Young Girl with Transient Limb WeaknessCASE 6: Can Hemiplegic Migraine Occur without Any Headache?CASE 7: Neurology after an Airplane FlightCASE 8: The Lady Who Fooled the Surgeon!CASE 9: A Middle-aged Lady with Migraine with Aura and Rapidly Progressive DementiaCASE 10: A Middle Aged Lady with Gait Instability and IncontinenceCASE 11: A Similar Case but with Something MoreCASE 12: A Case of Headache and VertigoCASE 13: Another Case of Headache and VertigoCASE 14: A Devastating Episode in a Football GroundCommentary 8: Migraine, Stroke, and Other Related IssuesCASE 15: A Young Girl with Migraine Who Lost Her VisionCASE 16: A Middle-aged Lady with Recurrent Ophthalmoplegia Section 2: Migraine and EpilepsyCommentary 9: Migraine and EpilepsyCASE 17: Migraine Epilepsy InterfaceCASE 18: Another Case of Migraine - Epilepsy InterfaceCASE 19: More Epilepsy Migraine InterfaceCASE 20: Yet Another Case of Headache - Epilepsy InterfaceCASE 21: Yet Another Case of Seizure and Headache Section 3: Trigeminal Autonomic CephalalgiasCommentary 10: Clinical Assessment of Patients with Headache and Autonomic SymptomsCommentary 11: Trigeminal Autonomic Cephalalgia: Pathophysiology and Treatment of Intractable CasesCASE 22: An Elderly Man with Intractable Ocular Jabs with a Red Eye and TearingCASE 23: Never Miss This Diagnosis!CASE 24: A Lady with Unilateral Jabs with Tearing from Ipsilateral EyeCommentary 12: Pitfalls in the Diagnosis of Cluster HeadachesCommentary 13: Pitfalls in the Diagnosis of Hemicrania ContinuaCASE 25: An Elderly Man with Severe Throat Pain Shooting up to Ipsilateral Eye and Temple with ANS Features including SalivationCASE 26: A Young Girl with Intractable Headache and Severe Photophobia which Changed Pattern over the YearsCASE 27: Young Boy with Side-locked Headache and RestlessnessCASE 28: Does Cluster Migraine Exist?CASE 29: A Lady with Side-locked and Time-locked Headache: A Diagnostic and Therapeutic DilemmaCASE 30: Yet Another Case of Hemiplegia with Severe Headache and Autonomic FeaturesCASE 31: A Neuroendocrine Problem: A Case of Secondary Cluster HeadacheCASE 32: Traps in Trigeminal Autonomic Cephalalgias: A Doctor’s Mistake!CASE 33: A Man with an Intractable Abdominal PainCASE 34: A Lady with Side Shifting HeadachesCASE 35: A Young Man with Cluster Headaches, Sleep Disturbance, and Sulfa Drug AllergyCommentary 14: Trigeminal Autonomic Cephalalgias and Long-lastingAutonomic Symptoms with Associated Hemicranias: A Spectrum Disorder Section 4: Other Primary Headache DisordersIntroductionCASE 36: A Case of Secondary Stabbing HeadacheCommentary 15: Thunderclap HeadacheCASE 37: Headache in the ShowerCASE 38: Another Case of Headache in the ShowerCASE 39: Sex Headache: May be a Very Serious Matter Indeed!CASE 40: Why You Need to Do Angiography Even in CT-negative Sex HeadachesCASE 41: A Very Rare Cause of Headache Related to Sexual ActivityCASE 42: A Curious Case of Headache in the ShowerCASE 43: A Middle-aged Lady with Bursting Headache Following MicturitionCASE 44: Yet Another Case of Thunderclap HeadacheCASE 45: Pregnant Lady with Headache and ConvulsionCASE 46: Postpartum Headache: Role of Early ImagingCASE 47: Alarm Clock Headache that Woke Her Up from Sleep Every NightCASE 48: A Lady Who had Hemicranial Headache on Coughing Section 5: Secondary Headaches, Other Headaches and Cranial NeuralgiasCommentary 16: How Not to Miss the Diagnosis of Serious Secondary HeadachesCASE 49: An Elderly Man with an Intractable HeadacheCASE 50: An Elderly Man Who Woke Up with a Headache and Visual LossCASE 51: An Elderly Man with Headache and Double VisionCASE 52: A Middle-aged Man with Recurrent Headaches, Fever, Stroke-like Episodes, and an Iatrogenic ComplicationCASE 53: A Young Lady with Intermittent Headaches, Stroke-like Episodes, and Abnormal MovementsCASE 54: A Middle-aged Lady with Intractable HeadacheCASE 55: Another Lady with Intractable Headache and Similar Imaging Abnormality with a Definitive DiagnosisCASE 56: Chronic Nasal Sinusitis and Pachymeningitis: Is There Any Link?CASE 57: An Unusual Indomethacin-responsive HeadacheCASE 58: A Young Lady with an Intractable Head and Face PainCASE 59: A Young Girl with an Apparently Serious Illness with Spontaneous ImprovementCASE 60: A Middle-aged Man with an Explosion in the HeadCASE 61: Another Case of Explosion in the HeadCASE 62: A Young Boy with Recurrent Headaches and FallsCASE 63: A Young Lady with Unilateral Eye Pain and TendernessCASE 64: A Lady with a Linear Burning Sensation on the FaceCASE 65: Recurrent Eye/Periorbital Pain and Visual Loss: Could it have been Prevented?CASE 66: An Elderly Man with Facial Twitching and Burning TongueCASE 67: An Elderly Man with Severe Left Facial Pain and a Miraculous Cure!CASE 68: A Middle-aged Lady with Intractable Left Facial Pain and Double VisionCASE 69: A Sinister Facial PainCASE 70: Hemicranial Pain, Facial Numbness, and Double Vision: An Unsolved MysteryCASE 71: Intermittent Progressive Headache Progressing to Encephalopathy: Case Vignette-1CASE 72: Intermittent Progressive Headache Progressing to Encephalopathy: Case Vignette-2CASE 73: Progressive Headache with New-onset PtosisCASE 74: Altered Consciousness in a Hospitalized Patient with Subarachnoid HemorrhageCASE 75: Sudden-onset Severe Headache without Evidence of Vascular AbnormalityCASE 76: Sudden-onset Lower Extremity Weakness with Loss of Bladder and Bowel Control Section 6: Headache and Covid-19 InfectionCommentary 17: Challenges in Headache Diagnosis in the Era of COVID-19 PandemicCASE 77: Post-COVID-19 Headache 1CASE 78: Post-COVID-19 Headache 2CASE 79: Post-COVID-19 Vaccination Headache Section 7: Traps in Headache DiagnosisCASE 80: An Elderly Man Who Woke Up with Severe Headache and Visual LossCASE 81: A Middle-aged Lady with Left Hemicranial Headache and a Red Eye