Hemicrania continua: a report of ten new cases

Arquivos de Neuro-Psiquiatria

Marcelo E. Bigal²  Stewart J Tepper¹  Fred D. Sheftell¹  Alan M. Rapoport¹ 

[1] ,The New England Center for Headache International Headache Society Fellow New York NY ,USA

关键词: hemicrania continua;    clinical characterization;    classification;    hemicrania continua;    características clínicas;    classificação;   

DOI  :  10.1590/S0004-282X2002000500001

来源: SciELO

【 摘 要 】

Hemicrania continua (HC) is an uncommon primary headache first described as a syndrome in 1984. Being quite unusual, its clinical characterization still demands better description. The aim of this study is to present the main clinical characteristics of 10 patients with the diagnosis of HC seen in a tertiary center, critically discussing their main features. All subjects had strictly unilateral headache without side shift and absolute response to indomethacin. Seven patients (70%) presented autonomic features during pain exacerbations. Four (40%) had migrainous symptoms during the exacerbations and one presented partial relief with dihydroergotamine. One patient had pain excruciatingly severe during the exacerbations. Although the cardinal features of HC - continuous, unilateral, indomethacin responsive, remain strongly reliable, a refinement on the clinical characterization is needful and desired.

【 授权许可】

CC BY   
 All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License