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Hemicrania Continua

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1. Therapeutical approaches to paroxysmal hemicrania, hemicrania continua and short lasting unilateral neuralgiform headache attacks: a critical appraisal (PubMed)

Therapeutical approaches to paroxysmal hemicrania, hemicrania continua and short lasting unilateral neuralgiform headache attacks: a critical appraisal Hemicrania continua (HC), paroxysmal hemicrania (PH) and short lasting neuralgiform headache attacks (SUNCT and SUNA) are rare syndromes with a difficult therapeutic approach. The aim of this review is to summarize all articles dealing with treatments for HC, PH, SUNCT and SUNA, comparing them in terms of effectiveness and safety.A survey

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2017 The journal of headache and pain

2. Carotid Cavernous Fistula Mimicking Hemicrania Continua: A Case Report. (PubMed)

Carotid Cavernous Fistula Mimicking Hemicrania Continua: A Case Report. Hemicrania continua is a primary headache disorder characterized by a continuous, unilateral headache associated with ipsilateral cranial autonomic features that responds to indomethacin. By definition, the symptoms are not referable to an underlying structural pathology. However, several cases of secondary hemicrania continua related to underlying structural lesions have been reported.We present a case of a 53-year-old (...) male with a prolonged, right-sided headache associated with intermittent right-sided ptosis, conjunctival injection, tearing, and nasal congestion, suggestive of hemicrania continua, who was found to have an indirect carotid-cavernous fistula, and who, after endovascular treatment of the fistula, had resolution of his symptoms.Alternative, and perhaps less common, causes of headache should be considered when the clinical presentation is atypical or does not clearly fulfill diagnostic criteria

2019 Headache

3. Hemicrania Continua (PubMed)

Hemicrania Continua Hemicrania continua (HC) is an indomethacin responsive primary chronic headache disorder which is currently classified as a subtype of trigeminal autonomic cephalalgias (TACs). It is not very uncommon. There are >1000 cases of HC in the literature, and it constitutes 1.7% of total headache in the clinic settings. Misdiagnosis for HC is very common at all clinical settings. A diagnosis of HC is missed even by neurologists and headache specialists. It is characterized

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2018 Annals of Indian Academy of Neurology

4. Hemicrania Continua Associated with Classic Scintillating Scotoma (PubMed)

Hemicrania Continua Associated with Classic Scintillating Scotoma Hemicrania continua (HC) is a rare primary headache disorder, characterized by persistent unilateral pain associated with cranial autonomic symptoms and prompt response to indomethacin. While migrainous features (including aura) have been recognized in cluster headache, there have been only single reports of HC with aura. Here, we report the case of a 53-year-old man with constant right-sided headache and superimposed

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2018 Case reports in neurology

5. Hemicrania continua: clinical review, diagnosis and management (PubMed)

Hemicrania continua: clinical review, diagnosis and management Hemicrania continua (HC) is an indomethacin-responsive primary headache disorder which is currently classified under the heading of trigeminal autonomic cephalalgias (TACs). It is a highly misdiagnosed and underreported primary headache. The pooled mean delay of diagnosis of HC is 8.0 ± 7.2 years. It is not rare. We noted more than 1000 cases in the literature. It represents 1.7% of total headache patients attending headache

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2017 Journal of pain research

6. Hemicrania Continua-Like Headache Related to Transdermal Nitroglycerine Therapy. (PubMed)

Hemicrania Continua-Like Headache Related to Transdermal Nitroglycerine Therapy. Several cases of symptomatic hemicrania continua (HC) have been reported. A 66-year-old man, suffering from migraine without aura, presented with a four month history of a new headache fulfilling the ICHD 3beta clinical criteria for HC. HC onset was strictly related to the use of transdermal nitroglycerine patch (TNP). In agreement with the cardiologist, TNP was discontinued and the headache promptly disappeared

2016 Headache

7. Hemicrania Continua: Beneficial Effect of Non-Invasive Vagus Nerve Stimulation in a Patient With a Contraindication for Indomethacin. (PubMed)

Hemicrania Continua: Beneficial Effect of Non-Invasive Vagus Nerve Stimulation in a Patient With a Contraindication for Indomethacin. Hemicrania continua (HC) is a primary chronic headache disorder, characterized by a continuous and strictly unilateral headache, with possible cranial autonomic symptoms during episodes of pain exacerbation. The unilateral headache generally responds well to indomethacin; however, continuous indomethacin intake is often not tolerated due to severe adverse effects

2016 Headache

8. Two Cases of Hemicrania Continua-Trigeminal Neuralgia Syndrome: Expanding the Spectrum of Trigeminal Autonomic Cephalalgia-Tic (TAC-TIC) Syndrome. (PubMed)

Two Cases of Hemicrania Continua-Trigeminal Neuralgia Syndrome: Expanding the Spectrum of Trigeminal Autonomic Cephalalgia-Tic (TAC-TIC) Syndrome. Trigeminal neuralgia (TN) has been described in association with various primary headache disorders. So far, no case of TN has been reported in association with hemicrania continua (HC).Here, we report two patients of hemicrania continua associated with TN (HC-tic syndrome). These patients had both headaches concurrently. Both patients responded

2016 Headache

9. Hemicrania continua may respond to repetitive sphenopalatine ganglion block: A case report. (PubMed)

Hemicrania continua may respond to repetitive sphenopalatine ganglion block: A case report. Hemicrania continua (HC) is a chronic headache disorder characterized by a continuous, strictly unilateral head pain accompanied by cranial autonomic symptoms, which completely responds to indomethacin; however, few alternative treatment options exist for the patients with this disorder who cannot tolerate indomethacin. Sphenopalatine ganglion (SPG) block has been used for the treatment of various

2016 Headache

10. Hemicrania Continua

Hemicrania Continua Hemicrania Continua Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Hemicrania Continua Hemicrania Continua Aka (...) : Hemicrania Continua From Related Chapters II. Classification Long duration Trigeminal Autonomic s similar to Unilateral trigeminal distribution symptoms with autonomic features III. Symptoms Characteristics Unilateral Associated symptoms (at least one of the following cluster-like autonomic findings) l injection or Nasal congestion or or Palliative measures Responds completely to IV. Differential Diagnosis See V. Management VI. References Images: Related links to external sites (from Bing) These images

2018 FP Notebook

11. How Effective Is Melatonin as a Preventive Treatment for Hemicrania Continua? A Clinic-Based Study. (PubMed)

How Effective Is Melatonin as a Preventive Treatment for Hemicrania Continua? A Clinic-Based Study. To assess the efficacy of melatonin as a preventive therapy for hemicrania continua in a larger population of patients than has previously been studied.Hemicrania continua is defined by its sensitivity to indomethacin. Rarely can patients be fully tapered off indomethacin without headache recurrence; thus, the risks associated with chronic indomethacin usage are substantial for these individuals (...) . Melatonin, a pineal hormone with a similar chemical structure to indomethacin, has shown efficacy as a preventive agent for hemicrania continua in isolated case reports. Melatonin would be a preferential alternative prophylactic treatment to indomethacin because of its minimal side effect profile. How truly effective melatonin is as a preventive for hemicrania continua is unknown at present and needs further study.Retrospective analysis of all International Classification of Headache Disorders-3 beta

2015 Headache

12. Hemicrania continua: functional imaging and clinical features with diagnostic implications. (PubMed)

Hemicrania continua: functional imaging and clinical features with diagnostic implications. This review focuses on summarizing 2 pivotal articles in the clinical and pathophysiologic understanding of hemicrania continua (HC). The first article, a functional imaging project,identifies both the dorsal rostral pons (a region associated with the generation of migraines) and the posterior hypothalamus(a region associated with the generation of cluster and short-lasting unilateral neuralgiform

2013 Headache

13. Hemicrania Continua. Unquestionably a Trigeminal Autonomic Cephalalgia. (PubMed)

Hemicrania Continua. Unquestionably a Trigeminal Autonomic Cephalalgia. Hemicrania continua (HC) is a well-known primary headache. The present version of the International Classification of Headache Disorders lists HC in the "other primary headaches" group. However, evidence has emerged demonstrating that HC is a phenotype that belongs to the trigeminal autonomic cephalalgias together with cluster headache, paroxysmal hemicrania (PH), and short-lasting, unilateral neuralgiform headache attacks

2013 Headache

14. Hemicrania Continua Should NOT Be Classified as a Trigeminal Autonomic Cephalalgia. (PubMed)

Hemicrania Continua Should NOT Be Classified as a Trigeminal Autonomic Cephalalgia. The pain of the so-called functional or primary headache disorders, such as tension headache, migraine, or cluster headache, can be associated with autonomic symptoms that are localized in nature. The localized autonomic symptoms probably involve higher centers of autonomic regulation, for example the hypothalamus, for which there is support from functional magnetic resonance imaging studies.Hemicrania continua (...) , a continuous, unilateral, side-locked headache, absolutely responsive to preventive treatment with indomethacin, is contrasted with so-called medication-overuse headache, in which the paradoxical situation exists of tremendous suffering despite excessive use of abortive medications.In classification, clinical presentation trumps experimental testing: Not only is there no basis to classify hemicrania continua in the category of the so-called trigeminal autonomic cephalalgias, also the very existence

2013 Headache

15. Hemicrania Continua: Functional Imaging and Clinical Features With Diagnostic Implications. (PubMed)

Hemicrania Continua: Functional Imaging and Clinical Features With Diagnostic Implications. This review focuses on summarizing 2 pivotal articles in the clinical and pathophysiologic understanding of hemicrania continua (HC). The first article, a functional imaging project, identifies both the dorsal rostral pons (a region associated with the generation of migraines) and the posterior hypothalamus (a region associated with the generation of cluster and short-lasting unilateral neuralgiform

2013 Headache

16. Diagnostic and therapeutic errors in trigeminal autonomic cephalalgias and hemicrania continua: a systematic review. (PubMed)

Diagnostic and therapeutic errors in trigeminal autonomic cephalalgias and hemicrania continua: a systematic review. Trigeminal autonomic cephalalgias (TACs) and hemicrania continua (HC) are relatively rare but clinically rather well-defined primary headaches. Despite the existence of clear-cut diagnostic criteria (The International Classification of Headache Disorders, 2nd edition - ICHD-II) and several therapeutic guidelines, errors in workup and treatment of these conditions are frequent

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2013 The journal of headache and pain

17. Hemicrania Continua

Hemicrania Continua Hemicrania Continua Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Hemicrania Continua Hemicrania Continua Aka (...) : Hemicrania Continua From Related Chapters II. Classification Long duration Trigeminal Autonomic s similar to Unilateral trigeminal distribution symptoms with autonomic features III. Symptoms Characteristics Unilateral Associated symptoms (at least one of the following cluster-like autonomic findings) l injection or Nasal congestion or or Palliative measures Responds completely to IV. Differential Diagnosis See V. Management VI. References Images: Related links to external sites (from Bing) These images

2015 FP Notebook

18. Chronic Paroxysmal Hemicrania (Diagnosis)

child: possible relation to ipsilateral occipital infarction. J Child Neurol . 1993 Jul. 8(3):235-6. . Tarantino S, Vollono C, Capuano A, Vigevano F, Valeriani M. Chronic paroxysmal hemicrania in paediatric age: report of two cases. J Headache Pain . 2011 Apr. 12(2):263-7. . . Müller KI, Bekkelund SI. Hemicrania continua changed to chronic paroxysmal hemicrania after treatment with cyclooxygenase-2 inhibitor. Headache . 2011 Feb. 51(2):300-5. . Sjaastad O, Vincent M. Indomethacin responsive headache (...) syndromes: chronic paroxysmal hemicrania and Hemicrania continua. How they were discovered and what we have learned since. Funct Neurol . 2010 Jan-Mar. 25(1):49-55. . Seidel S, Lieba-Samal D, Vigl M, Wöber C. Clinical features of unilateral headaches beyond migraine and cluster headache and their response to indomethacin. Wien Klin Wochenschr . 2011 Sep. 123(17-18):536-41. . Evers S, Bauer B, Suhr B, Voss H, Frese A, Husstedt IW. Cognitive processing is involved in cluster headache but not in chronic

2014 eMedicine.com

19. Chronic Paroxysmal Hemicrania (Treatment)

in distinguishing hemicrania continua (HC) and supraorbital nerve neuralgia (in which nerve block is markedly effective). Reliable evidence for the efficacy of chiropractic manipulation, acupuncture, or surgical management in the treatment of CPH does not exist. Consultations Consult with an ophthalmologist to evaluate ocular pathology such as glaucoma or orbital pseudotumor. References Sjaastad O, Dale I. Evidence for a new (?), treatable headache entity. Headache . 1974 Jul. 14(2):105-8. . Sjaastad O, Dale I (...) . 1993 Jul. 8(3):235-6. . Tarantino S, Vollono C, Capuano A, Vigevano F, Valeriani M. Chronic paroxysmal hemicrania in paediatric age: report of two cases. J Headache Pain . 2011 Apr. 12(2):263-7. . . Müller KI, Bekkelund SI. Hemicrania continua changed to chronic paroxysmal hemicrania after treatment with cyclooxygenase-2 inhibitor. Headache . 2011 Feb. 51(2):300-5. . Sjaastad O, Vincent M. Indomethacin responsive headache syndromes: chronic paroxysmal hemicrania and Hemicrania continua. How

2014 eMedicine.com

20. Chronic Paroxysmal Hemicrania (Overview)

child: possible relation to ipsilateral occipital infarction. J Child Neurol . 1993 Jul. 8(3):235-6. . Tarantino S, Vollono C, Capuano A, Vigevano F, Valeriani M. Chronic paroxysmal hemicrania in paediatric age: report of two cases. J Headache Pain . 2011 Apr. 12(2):263-7. . . Müller KI, Bekkelund SI. Hemicrania continua changed to chronic paroxysmal hemicrania after treatment with cyclooxygenase-2 inhibitor. Headache . 2011 Feb. 51(2):300-5. . Sjaastad O, Vincent M. Indomethacin responsive headache (...) syndromes: chronic paroxysmal hemicrania and Hemicrania continua. How they were discovered and what we have learned since. Funct Neurol . 2010 Jan-Mar. 25(1):49-55. . Seidel S, Lieba-Samal D, Vigl M, Wöber C. Clinical features of unilateral headaches beyond migraine and cluster headache and their response to indomethacin. Wien Klin Wochenschr . 2011 Sep. 123(17-18):536-41. . Evers S, Bauer B, Suhr B, Voss H, Frese A, Husstedt IW. Cognitive processing is involved in cluster headache but not in chronic

2014 eMedicine.com

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