Hemicrania continua: a report of ten new cases

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.

Saved in:
Bibliographic Details
Main Authors: Bigal,Marcelo E., Tepper,Stewart J, Sheftell,Fred D., Rapoport,Alan M.
Format: Digital revista
Language:English
Published: Academia Brasileira de Neurologia - ABNEURO 2002
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2002000500001
Tags: Add Tag
No Tags, Be the first to tag this record!