CHRONIC PAROXYSMAL HEMICRANIA-TIC SYNDROME

We report the coexistence of both chronic paroxysmal hemicrania (CPH) and trigeminal neuralgia (tic douloureux) in a female patient. The cli nical features combined to make a configuration of CPH-tic syndrome. T he two components of the syndrome appeared synchronously in the same o rbital region-first branch of the trigeminal nerve-with a latency of s everal years after the onset of isolated tic attacks of the second and third trigeminal divisions. The concurrence of both types of pain in the same symptomatic area may have some significance for pathogenic, c linical, and pharmacological aspects of such a syndrome. We discuss al l these and postulate a provisional distinction between CPH-V-2,V-3 ti c and CPH-V-1 tic.