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2 Comments

  1. Emily
    28 January 2010 @ 6:47 pm

    Just adding the IHS description of my type of primary headache:
    Hemicrania Continua
    The International Headache Society (IHS) is the world’s membership organisation for all whose professional commitment, whatever their discipline, is to helping people whose lives are affected by headache disorders.
    http://ihs-classification.org/en/02_klassifikation/02_teil1/04.07.00_other.html
    4. OTHER PRIMARY HEADACHES
    4.7. Hemicrania continua

    IHS Diagnosis ICD-10
    4.7 Hemicrania continua G44.80

    Description:
    Persistent strictly unilateral headache responsive to indomethacin.

    Diagnostic criteria:
    A.Headache for >3 months fulfilling criteria B-D
    B.All of the following characteristics:
    1.unilateral pain without side-shift
    2.daily and continuous, without pain-free periods
    3.moderate intensity, but with exacerbations of severe pain
    C.At least one of the following autonomic features occurs during exacerbations and ipsilateral to the side of pain:
    1.conjunctival injection and/or lacrimation
    2.nasal congestion and/or rhinorrhoea
    3.ptosis and/or miosis
    D.Complete response to therapeutic doses of indomethacin
    E.Not attributed to another disorder1
    Note:
    1.History and physical and neurological examinations do not suggest any of the disorders listed in groups 5-12, or history and/or physical and/or neurological examinations do suggest such disorder but it is ruled out by appropriate investigations, or such disorder is present but headache does not occur for the first time in close temporal relation to the disorder
    Comment:
    Hemicrania continua is usually unremitting, but rare cases of remission are reported. Whether this headache type can be subdivided according to length of history and persistence is yet to be determined.

    Reply

  2. James
    29 January 2010 @ 7:09 am

    Thanks for sharing. We’ve talked about hemicrania continua more than once – both in HeadWay and here in the blog. Be sure to check out Popular ways to misdiagnose Hemicrania Continua.

    Reply

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