持续性偏侧头痛：临床与疾病分类学的最新进展

Hemicrania continua: clinical and nosographic update.

作者信息

Rapoport A M, Bigal M E

机构信息

Department of Neurology, Columbia University College of Physicians and Surgeons, New York, NY, USA.

出版信息

Neurol Sci. 2003 May;24 Suppl 2:S118-21. doi: 10.1007/s100720300057.

DOI:10.1007/s100720300057

PMID:12811608

Abstract

Hemicrania continua (HC) is an uncommon primary headache syndrome. The main features of HC are: (i) strict unilaterality of the pain (moderate, fluctuating, relatively long-lasting); and (ii) absolute response to indomethacin. These two features may reflect the most reliable characteristics of the syndrome. Autonomic symptoms are not as prominent in HC as they are in cluster headache and chronic paroxysmal hemicrania, although they may exist. HC will be addressed in the 2003 revision of the International Headache Society (IHS). In this paper we review the clinical features, classification and treatment of HC.

摘要

持续性偏侧头痛（HC）是一种不常见的原发性头痛综合征。HC的主要特征为：（i）疼痛严格局限于单侧（中度、波动、持续时间相对较长）；以及（ii）对吲哚美辛有绝对反应。这两个特征可能反映了该综合征最可靠的特点。自主神经症状在HC中不如在丛集性头痛和慢性阵发性偏侧头痛中突出，尽管可能存在。HC将在国际头痛协会（IHS）2003年的修订版中进行阐述。在本文中，我们回顾了HC的临床特征、分类及治疗。