Peres Mario F P, Valença Marcelo M, Gonçalves André Leite
UNIFESP (Universidade Federal de São Paulo), São Paulo, Brazil.
Expert Rev Neurother. 2009 Sep;9(9):1371-8. doi: 10.1586/ern.09.85.
Hemicrania continua (HC) is a primary headache disorder that is characterized by a continuous unilateral headache of moderate severity, exacerbations of severe pain, and complete responsiveness to indomethacin. Misdiagnosis of HC is probably common in general neurology settings and other clinical specialties. This paper is an attempt to bridge the gap between the correct and misdiagnosis of this disorder. HC was once thought to be a rare headache disorder, but is, in fact, an under-recognized headache syndrome. HC can be of continuous or remitting form. Variants such as HC with aura have been described and secondary cases may occur. Indomethacin is the best treatment, although HC could respond to other NSAIDs, such as the selective COX-2 inhibitors.
持续性偏侧头痛（HC）是一种原发性头痛疾病，其特征为单侧持续性中度头痛、剧痛加剧以及对吲哚美辛完全敏感。在普通神经科和其他临床专科中，HC的误诊可能很常见。本文旨在弥合该疾病正确诊断与误诊之间的差距。HC曾被认为是一种罕见的头痛疾病，但实际上是一种未得到充分认识的头痛综合征。HC可以是持续性或缓解性的。已经描述了如伴有先兆的HC等变体，并且可能会出现继发性病例。吲哚美辛是最佳治疗药物，尽管HC可能对其他非甾体抗炎药（NSAIDs）有反应，如选择性COX - 2抑制剂。
