Diagnosis and Management of Hemicrania Continua via Telemedicine During the War in Ukraine: A Case Report

Background Telemedicine has become an essential modality for neurological care delivery, particularly in humanitarian crises where in-person consultations are limited. Case Presentation A 52-year-old woman living in Ukraine presented via telemedicine with a two-year history of left-sided continuous headaches associated with autonomic features. Her history included chronic left internal carotid artery occlusion but no ischemic events. Prior trials of several medications provided no relief. Brain and cervical spine MRI showed only nonspecific findings. Based on clinical presentation and a therapeutic trial of indomethacin 25 mg three times daily, the patient achieved complete symptom resolution within three days, confirming the diagnosis of hemicrania continua. Management and Outcome: Treatment and follow-up were conducted entirely via TeleHelp Ukraine, a humanitarian telemedicine platform supporting displaced populations during the ongoing conflict. Conclusion This case highlights the feasibility and diagnostic accuracy of telemedicine for complex neurological conditions in conflict zones. It underscores telemedicine’s role in sustaining specialty care access and continuity when local healthcare infrastructure is disrupted.