Hemicrania Continua Headache in a Veteran with Posttraumatic Stress Disorder and Major Depressive Disorder without Traumatic Brain Injury

Hemicrania continua is a headache characterized by chronic unremitting unilateral pain associated with ipsilateral autonomic findings. This type of headache responds to high-flow oxygen and indomethacin. This case report describes a male veteran with posttraumatic stress disorder (PTSD) and major de...

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Main Authors: Brandon A. Kohrt, Erica Duncan
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Psychiatry
Online Access:http://dx.doi.org/10.1155/2012/937217
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author Brandon A. Kohrt
Erica Duncan
author_facet Brandon A. Kohrt
Erica Duncan
author_sort Brandon A. Kohrt
collection DOAJ
description Hemicrania continua is a headache characterized by chronic unremitting unilateral pain associated with ipsilateral autonomic findings. This type of headache responds to high-flow oxygen and indomethacin. This case report describes a male veteran with posttraumatic stress disorder (PTSD) and major depressive disorder who suffers from comorbid hemicrania continua. The psychiatric symptoms were recalcitrant to psychopharmacological intervention. However, when the patient's hemicrania continua was treated appropriately, the patient's psychiatric symptoms also abated. This case demonstrates the need to address physical comorbidities that may exacerbate psychiatric disorders, such as PTSD.
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spelling doaj-art-e3a6aa98964846d0b0e94025a8fd15f12025-08-20T02:21:24ZengWileyCase Reports in Psychiatry2090-682X2090-68382012-01-01201210.1155/2012/937217937217Hemicrania Continua Headache in a Veteran with Posttraumatic Stress Disorder and Major Depressive Disorder without Traumatic Brain InjuryBrandon A. Kohrt0Erica Duncan1Department of Psychiatry and Behavioral Sciences, The George Washington University, Washington, DC 20037, USAAtlanta Veterans Administration Medical Center, Decatur, GA 30033, USAHemicrania continua is a headache characterized by chronic unremitting unilateral pain associated with ipsilateral autonomic findings. This type of headache responds to high-flow oxygen and indomethacin. This case report describes a male veteran with posttraumatic stress disorder (PTSD) and major depressive disorder who suffers from comorbid hemicrania continua. The psychiatric symptoms were recalcitrant to psychopharmacological intervention. However, when the patient's hemicrania continua was treated appropriately, the patient's psychiatric symptoms also abated. This case demonstrates the need to address physical comorbidities that may exacerbate psychiatric disorders, such as PTSD.http://dx.doi.org/10.1155/2012/937217
spellingShingle Brandon A. Kohrt
Erica Duncan
Hemicrania Continua Headache in a Veteran with Posttraumatic Stress Disorder and Major Depressive Disorder without Traumatic Brain Injury
Case Reports in Psychiatry
title Hemicrania Continua Headache in a Veteran with Posttraumatic Stress Disorder and Major Depressive Disorder without Traumatic Brain Injury
title_full Hemicrania Continua Headache in a Veteran with Posttraumatic Stress Disorder and Major Depressive Disorder without Traumatic Brain Injury
title_fullStr Hemicrania Continua Headache in a Veteran with Posttraumatic Stress Disorder and Major Depressive Disorder without Traumatic Brain Injury
title_full_unstemmed Hemicrania Continua Headache in a Veteran with Posttraumatic Stress Disorder and Major Depressive Disorder without Traumatic Brain Injury
title_short Hemicrania Continua Headache in a Veteran with Posttraumatic Stress Disorder and Major Depressive Disorder without Traumatic Brain Injury
title_sort hemicrania continua headache in a veteran with posttraumatic stress disorder and major depressive disorder without traumatic brain injury
url http://dx.doi.org/10.1155/2012/937217
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AT ericaduncan hemicraniacontinuaheadacheinaveteranwithposttraumaticstressdisorderandmajordepressivedisorderwithouttraumaticbraininjury