Skip to main content

Hemicrania Continua

Someone had mentioned this headache disorder to me because I get chronic migraines.  And they are in fact very similar in some aspects, but Hemicrania Continua is not responsive to triptans, which migraines are, usually, sometimes.  Although it does make me wonder, since I wonder sometimes why migraines become chronic and maybe it is because it is migraines plus another headache condition which would explain the difficulties in treating it.  Anyway, I'd thought I'd share this tidbit.

According to Health Central's fabulous Terri Roberts "Hemicrania continua is considered a primary headache disorder, meaning that it's not caused by another condition. It's a rare but treatable disorder. According to the International Headache Society's (IHS) International Classification of Headache Disorders, 2nd Edition, hemicrania continua is a "persistent strictly unilateral headache responsive to indomethacin."

The IHS diagnostic criteria for hemicrania continua is:
Headache for more than 3 months fulfilling criteria B–D


All of the following characteristics:
unilateral (one-sided_ pain without side-shift
daily and continuous, without pain-free periods
moderate intensity, but with exacerbations of severe pain
At least one of the following autonomic features occurs during exacerbations and ipsilateral to the side of pain:
conjunctival injection (forcing of a fluid into the conjuctiva, the mucous membrane that lines the eyelids) and/or lacrimation (tearing)
nasal congestion and/or rhinorrhoea (runny nose)
ptosis (drooping eyelid) and/or miosis (abnormal contraction of the pupils)
Complete response to therapeutic doses of indomethacin. Not attributed to another disorder " Health Central

And it can occur with other headache disorders:

However, along with the daily, one-sided headache, it also causes exacerbations of more severe headache, which occurs on the same side as the daily headache and is characteristic of Migraine pain. These more severe episodes can last from 45 minutes to days. During these exacerbations, symptoms of other disorders may be present:



Migraine symptoms:
throbbing pain
nausea and/or vomiting
phonophobia (increased sensitivity to sound)
photophobia (increased sensitivity to light)


Cluster headache symptoms:
conjunctival injection and/or lacrimation
nasal congestion and/or rhinorrhoea
ptosis and/or miosis

6 comments

Popular posts from this blog

Signs the pain is getting the best of you

100 Symptoms of Fibromyalgia

There was a site that had this and I had linked to it on Tumblr but it is gone. So I had to hunt down someone who found my post and posted the whole thing in a forum. Anyway it is around but I'm posting it here so I will not have to hunt it down to reference it. Now we all know the major symptoms are the wide-spread pain, but our pain isn't just muscle pain... it can be nerve types of pain as well, and the fatigue and the insomnia. And even among symptoms there are some far more frequent than others, but it should be said we have categories... like the cognitive dysfunction, which is a broad one that has more than one symptom and we often just say fibrofog. The insomnia... more than one sleeping disorder. So the list is interesting.




GENERAL
__ Fatigue, made worse by physical exertion or stress
__ Activity level decreased to less than 50% of pre-illness activity level
__ Recurrent flu-like illness
__ Sore throat
__ Hoarseness
__ Tender or swollen lymph nodes (glands), especiall…

When I say I am good

When people ask me how I am feeling 99% of the time I am lying. I often say 'not bad', because I feel it is slightly more honest than 'good' or 'fine'. Got sick of fine. Anyway, I lie for many reasons. 



I'm having a good pain day: They happen and I'll say that I'm good, fine, not bad. I even feel like I can accomplish great things... in moderation. In which case, relatively speaking, for Me I am not actually lying. This is a Good pain day, it is Not Bad for me and I am Fine with it. I just don't want to explain: I just don't want to explain how crappy I feel and in which way I mean. Because I am tired of it. I just want to deal with it, without having to discuss it, mention it or have any sympathy expressed about it. Because it can be complicated. It may be a migraine with specific symptoms. Maybe it is a FM flare though. Or both. And then I have to explain what it is because most people think my migraines are the main issue but I could be FM…