We describe a patient with neck pain of twelve years' duration whom we believe to have an early form of chronic paroxysmal hemicrania. Her pain was severe, frequent and brief and was greatly relieved by Indomethacin. There were two atypical features in this case—predominance of pain in the neck, and a change of pain from the right to the left side.
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Pelz et al. (1982) studied this question.
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