Pareja J A, Vincent M, Antonaci F, Sjaastad O
Hospital Ruber Internacional, Servicio de Neurología, Madrid, Spain.
Cephalalgia. 2001 Nov;21(9):874-7. doi: 10.1046/j.1468-2982.2001.00276.x.
Proposals for the diagnostic criteria for hemicrania continua (HC) and also for the nosological status of HC are set forth. The clinical constellation of symptoms and signs making up HC consists of: unilaterality without side shift; absolute indomethacin effect; and long-lasting repetitive attacks of varying duration, eventually with a chronic pattern, the pain being mild to severe. For the typical clinical picture of HC, including a positive 'indotest', we propose the term hemicrania continua vera. More or less analogous, but 'indotest-negative' clinical pictures have provisionally been termed hemicrania generis incerti (of undetermined nature). At the present level of knowledge, the diagnosis of hemicrania generis incerti should be made mostly by exclusion. HC may possibly best be classified along with chronic paroxysmal hemicrania (CPH) as this is the only other headache absolutely responsive to indomethacin. The bond between these two headaches on the one hand and cluster headache on the other should, at most, be a loose one. Interrelationships of these four classifiable headaches are briefly discussed.
提出了关于持续性偏侧头痛（HC）的诊断标准以及HC疾病分类地位的建议。构成HC的症状和体征的临床组合包括：单侧性且无侧移；对消炎痛有绝对疗效；以及持续时间各异的长期反复发作，最终呈慢性模式，疼痛程度从轻到重。对于包括阳性“消炎痛试验”在内的HC典型临床表现，我们提出“真性持续性偏侧头痛”这一术语。或多或少类似但“消炎痛试验阴性”的临床表现暂称为“性质不明的偏侧头痛”。在目前的知识水平下，性质不明的偏侧头痛的诊断大多应通过排除法进行。HC可能最好与慢性阵发性偏侧头痛（CPH）归为一类，因为这是唯一另一种对消炎痛绝对有反应的头痛。这两种头痛一方面与丛集性头痛另一方面之间的联系至多是一种松散的联系。简要讨论了这四种可分类头痛之间的相互关系。
