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"Hemicrania Continua": A Clinical Review

 

作者: Carlos Bordini,   Fabio Antonaci,   Lars Jacob Stovner,   Harald Schrader,   Ottar Sjaastad,  

 

期刊: Headache: The Journal of Head and Face Pain  (WILEY Available online 1991)
卷期: Volume 31, issue 1  

页码: 20-26

 

ISSN:0017-8748

 

年代: 1991

 

DOI:10.1111/j.1526-4610.1991.hed3101020.x

 

出版商: Blackwell Science Inc

 

关键词: chronic paroxysmal hemicrania;hemicrania continua;headache;indomethacin;cluster headache

 

数据来源: WILEY

 

摘要:

SYNOPSISHemicrania continua (HC) is a headache entity completely responsive to indomethacin. Since 1984, 18 cases have been described, 15 females and 3 males, i.e. a F:M ratio of 5.0. The finding of a female preponderance, like that in chronic paroxysmal hemicrania, is a new observation. HC is, in general, a unilateral headache in the sense that it sets in on one side and subsequently sticks to this side. In two case, both sides might possibly be involved, when the pain was at its maximum. In another (somewhat dubious) case the headache was bilateral. The pain was continuous from the beginning in 8 of 18 cases (early stage ratio continuous: non‐continuous = 0.8). Over time, the headache developed a continuous character in 16 of the 18 cases, producing a "continuous: non‐continuous ratio" of 8:1. The intensity of pain generally was moderate and was not reported as excruciatingly severe by any patient. The autonomic involvement from a clinical point of view, was clearly less pronounced than that of other unilateral headaches, such as cluster headache and chronic paroxysmal hemicra

 

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