Bordini C, Antonaci F, Stovner L J, Schrader H, Sjaastad O
Department of Neurology, Trondheim University Hospital, Norway.
Headache. 1991 Jan;31(1):20-6. doi: 10.1111/j.1526-4610.1991.hed3101020.x.
Hemicrania continua (HC) is a headache entity completely responsive to indomethacin. Since 1984, 18 cases have been described, 15 females and 3 males, i.e. a F:M ratio of 5.0. The finding of a female preponderance, like that in chronic paroxysmal hemicrania, is a new observation. HC is, in general, a unilateral headache in the sense that it sets in on one side and subsequently sticks to this side. In two cases, both sides might possibly be involved, when the pain was at its maximum. In another (somewhat dubious) case the headache was bilateral. The pain was continuous from the beginning in 8 of 18 cases (early stage ratio continuous: non-continuous = 0.8). Over time, the headache developed a continuous character in 16 of the 18 cases, producing a "continuous: non-continuous ratio" of 8:1. The intensity of pain generally was moderate and was not reported as excruciatingly severe by any patient. The autonomic involvement from a clinical point of view, was clearly less pronounced than that of other unilateral headaches, such as cluster headache and chronic paroxysmal hemicrania.
持续性偏侧头痛（HC）是一种对吲哚美辛完全有反应的头痛类型。自1984年以来，已报道18例，其中女性15例，男性3例，即男女比例为5.0。女性占优势这一发现，与慢性阵发性偏侧头痛一样，是一项新的观察结果。一般来说，HC是一种单侧性头痛，即它起始于一侧，随后一直局限于该侧。在两例中，当疼痛达到最剧烈时，两侧可能都有牵涉。在另一例（有些存疑）中，头痛是双侧性的。18例中有8例从一开始疼痛就是持续性的（早期持续性与非持续性比例为0.8）。随着时间推移，18例中有16例头痛发展为持续性，“持续性与非持续性比例”为8:1。疼痛强度一般为中度，没有任何患者报告疼痛极其严重。从临床角度来看，自主神经受累明显不如丛集性头痛和慢性阵发性偏侧头痛等其他单侧性头痛那样显著。
