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Case Reports in Psychiatry
Volume 2012, Article ID 937217, 3 pages
http://dx.doi.org/10.1155/2012/937217
Case Report

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

1Department of Psychiatry and Behavioral Sciences, The George Washington University, Washington, DC 20037, USA
2Atlanta Veterans Administration Medical Center, Decatur, GA 30033, USA
3Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA 30322, USA

Received 13 February 2012; Accepted 12 April 2012

Academic Editors: N. Bass, J. S. Brar, and J. Nakamura

Copyright © 2012 Brandon A. Kohrt and Erica Duncan. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.