HEADACHES,  NEUROLOGY

Hemicrania 

Diagram of hemicrania continua

  • Headaches similar to Cluster Headache = Unilateral Headache
  • Unilateral trigeminal distribution symptoms with autonomic features
  • Long duration  
  • Timing
    • Paroxysmal
      • Duration of 2-30 minutes, Recurs more than 5 times daily on >50% of days
    • Continua
      • constantly present for at least three months 
      • Remitting: Remission periods of >24 hours
      • Unremitting: Daily and continuous Headache >1 year without remission periods >24 hours
  • Associated symptoms (at least one of the following cluster-like autonomic findings)
  • Conjunctival injection or Lacrimation
  • Nasal congestion or Rhinorrhea
  • Eyelid Edema
  • Forehead and facial sweating
  • Miosis or Ptosis
  • Palliative measures
    • Responds completely to Indomethacin – Indomethacin 150 to 225 in divided doses per day
Table 2: A comparison between a side-locked migraine and hemicrania continua

Leave a Reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.