Bilateral paroxysmal hemicrania with autonomic features in a child: A case report

Paroxysmal hemicrania (PH) is rare in children and not widely recognized. It is characterized by pain attacks and associated symptoms and signs similar to those experiencing cluster headaches, but the features have a shorter effect, are more frequent, and respond completely to indomethacin. Some patients with PH may experience slight pain across the midline. There are only four cases of bilateral PH in the literature and it is very rare in children. Here, I report the case of a 10-year- old female with bilateral PH diagnosed by the typical symptoms along with the favorable response to indomethacin therapy.