1.Airplane headache: An atypical case with autonomic symptoms and long duration
Ceyla Ataç ; ; Ayşın Kısabay Ak ; Gü ; ldeniz Ç ; etin ; Melike Batum ; Figen Gö ; kç ; ay ; Deniz Selç ; uki
Neurology Asia 2020;25(4):611-613
Airplane Headache (AH) which is classified under headache attributed to disorder of homeostasis
in International Classification of Headache Disorders (ICHD) -3 is a severe, unilateral, orbitofrontal
headache that occurs during and caused by airplane travel. It remits after landing. AH cases with
autonomic symptoms had rarely been reported. We present a 35-year-old male complained of five
attacks of right-sided, unilateral, orbitofrontal headache accompanied with lacrimation, conjunctival
injection and eye redness ipsilaterally, starting 20-30 minutes prior to landing. The headache duration
varied between 30-90 minutes. AH diagnosis was made in the light of anamnesis and neurological
examination. The secondary causes and primary headaches with autonomic symptoms were ruled
out. As far as we know this is the first reported longer duration AH case with autonomic symptoms
in the literature. AH is an underdiagnosed headache. We report this atypical AH case to call attention
to this rare but treatable headache.
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