Abstract
Hemicrania continua (HC) was described and coined in 1984 by Sjaastad and Spierings. Later cases, carrying this appellation, should conform to the original description. The proposed classification criteria (ICHD 3rd edition beta version) for HC focus e.g. on localized, autonomic and “vascular” features. Such features do, however, not belong to the core symptomatology of HC and should accordingly be removed. The genuine, original HC will then re-appear.The headache that the new criteria refer to, has in an unfair and unjustified manner been given the designation HC. A revision of the proposed criteria seems mandatory.
Highlights
Hemicrania continua (HC) was described and coined in 1984 by Sjaastad and Spierings
The first two cases [1] were the prototypes of Hemicrania continua.—Throbbing was generally rarely present, appearing only during exacerbations
Partially be a by-product of drugs. It should in this connection be pointed out that many cases published under the category HC, sail under false colors
Summary
Hemicrania continua (HC) was described and coined in 1984 by Sjaastad and Spierings. Later cases, carrying this appellation, should conform to the original description. 4. And the most spectacular, single factor: the effect of indomethacin, which is obligatory and absolutegenerally with small dosages, i.e. 50–75 mg per day (not more) – In other words, patients who do not fulfill the indomethacin criteria, are not candidates for this headache category. Mondino National Institute of Neurology Foundation, IRCCS, Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy Full list of author information is available at the end of the article
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