Newman L C, Lipton R B, Solomon S
Department of Neurology, Albert Einstein College of Medicine, Bronx, NY.
Neurology. 1994 Nov;44(11):2111-4. doi: 10.1212/wnl.44.11.2111.
We describe 10 new patients and review the 24 prior reports of hemicrania continua, an uncommon, unilateral headache disorder. The disorder is characterized by a continuous baseline headache of moderate severity with superimposed exacerbations of more severe pain. These exacerbations are sometimes associated with ipsilateral autonomic disturbances. There are three temporal patterns: a chronic, nonremitting headache from onset; a remitting variety consisting of distinct phases of continuous unilateral headaches that persist for weeks to months followed by pain-free remissions; and an evolving form in which initially remitting headaches transform into the chronic, non-remitting pattern. Accurate diagnosis is important as all forms are characterized by a dramatic and selective response to indomethacin.
我们描述了10例新患者，并回顾了之前关于持续性偏侧头痛（一种罕见的单侧头痛疾病）的24份报告。该疾病的特征是持续存在中度严重程度的基线头痛，并伴有更严重疼痛的叠加性加重。这些加重有时与同侧自主神经功能紊乱有关。有三种时间模式：起病即为慢性、不间断的头痛；缓解型，由持续数周数月的持续性单侧头痛的不同阶段组成，随后是无痛缓解期；以及演变型，即最初缓解的头痛转变为慢性、不间断模式。准确诊断很重要，因为所有类型均以对吲哚美辛有显著且选择性反应为特征。
