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Hyper insulinemia in an hemicrania continua patient with sexual headache: Hypothesizing the basis for this unusual association Prakash, Sanjay Abstract The coexistence of hemicrania continua with another primary headache disorder is a very rare event. We report a male patient with both hemicrania continua of 16- year duration and pre-orgasmic headache of three-year duration. Both headache disorders responded to indomethacin. The patient had also in addition persistent elevation of fasting serum insulin. Keywords Hemicrania continua, hyperinsulinemia, sexual headache

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