Posttraumatic Hemicrania Continua

Hemicrania continua is a rare, benign headache disorder characterized by a low‐level baseline hemicranial headache with superimposed exacerbations of more severe pain. Exacerbations last from minutes to days and may be associated with ipsilateral autonomic features such as ptosis, miosis, conjunctiv...

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Bibliographic Details
Published in:Headache 1999-04, Vol.39 (4), p.275-279
Main Authors: Lay, Christine L., Newman, Lawrence C.
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Cardiovascular Agents - therapeutic use
Craniocerebral Trauma - complications
Diagnosis, Differential
Female
headache
Headache - diagnosis
Headache - drug therapy
Headache - etiology
Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy
hemicrania continua
Humans
indomethacin
Indomethacin - therapeutic use
Male
Medical sciences
Middle Aged
Nervous system (semeiology, syndromes)
Neurology
Treatment Outcome
Citations: Items that cite this one
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Description
Summary:Hemicrania continua is a rare, benign headache disorder characterized by a low‐level baseline hemicranial headache with superimposed exacerbations of more severe pain. Exacerbations last from minutes to days and may be associated with ipsilateral autonomic features such as ptosis, miosis, conjunctival injection, lacrimation, or rhinorrhea; when present, these features tend to be less pronounced than those seen with cluster headache. Response to treatment with indomethacin, in doses ranging from 25 to 300 mg per day, has been deemed a sine qua non of diagnosis. To date, in the majority of instances, hemicrania continua appears to have arisen de novo, without any identifiable trigger. We report four patients in whom the onset of hemicrania continua was temporally linked to head trauma.
ISSN:0017-8748
1526-4610
DOI:10.1046/j.1526-4610.1999.3904275.x