Paroxysmal Hemicrania — SCE Neurology MCQ
Instant feedback + full explanation. One question, done properly.
Educational content. Not a substitute for clinical judgement or local policy.
Reveal the answer and explanation
Correct answer: A — Paroxysmal hemicrania
The best answer is “Paroxysmal hemicrania”. Paroxysmal hemicrania consists of frequent short trigeminal-autonomic attacks lasting 2–30 minutes and is defined by an absolute indomethacin response. “Cluster headache” is less appropriate because cluster attacks are usually longer and are not defined by indomethacin responsiveness “SUNCT” is less appropriate because SUNCT attacks are generally seconds to a few minutes and prominently feature conjunctival injection and tearing “Trigeminal neuralgia” is less appropriate because trigeminal neuralgia has triggerable shock-like facial pain rather than sustained orbital autonomic attacks “Hemicrania continua” is less appropriate because hemicrania continua has continuous background unilateral pain between exacerbations
Reference: NICE CG150: Headaches in over 12s — recommendations. https://www.nice.org.uk/guidance/cg150/chapter/recommendations