Which physical findings are characteristic of chronic paroxysmal hemicrania (CPH)?

Updated: Jun 12, 2019
  • Author: Monica Saini, MD, MBBS; more...
  • Print
Answer

The pain is severe in patients with CPH, and attacks are associated with autonomic features, such as the following:

  • Lacrimation - 62%

  • Conjunctival injection - 36%

  • Ipsilateral nasal congestion - 42%

  • Rhinorrhea - 36%

  • Eyelid edema - 33%

Lacrimation may occur bilaterally but is always more marked on the symptomatic side. Occasionally, mild ipsilateral miosis may be observed during attacks.


Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!