Hemicrania continua is defined as a constant one sided (and always on the same side) headache of moderate intensity with exacerbations and which responds to Indomethacin. Other possible symptoms include redness of the eye, a watery or teary eye, a blocked or runny nostril and drooping of the eyelid.
But we have case reports which show [...]
I have mentioned in my previous blogs that sensitisation of the brainstem has been demonstrated in migraine, tension headache, menstrual migraine and cluster headache.
What I may not have made clear is that this sensitised state is present even when you are free of your headache or migraine, that is, your brainstem is sensitised constantly.
Then what [...]
In recent correspondence to an acclaimed international headache journal, a doctor located in India reported on migrainous headache occurring after washing of the hair – as the author explains this has either not been noticed in other countries or it may be that similar headache presentations in other countries occur but are called something else.
As [...]
In recent times the International Headache Society has added a third primary group of headache(s) to the two primary headache types – migraine and tension-type headache.
This third primary group includes Cluster headache, Chronic Paroxysmal Hemicrania, and SUNCT (Short lasting Unilateral Neuralgia form headache attack with Conjunctival injection and Tearing!) and Hemicrania Continua.
Chronic Paroxysmal Hemicrania is [...]
Interesting to note a case study reporting that the head pain of a patient suffering hemicrania continua was temporarily reproduced and resolved by neck movements and later by blocking or injecting the greater occipital nerve. These two features are key diagnostic signs of cervicogenic or neck related headache and indeed this respected researcher concludes this.
Cheers
Dean
Consultant [...]
I have mentioned Hemicrania Continua a few times in my blogs assuming that you are familiar with this condition.
Hemicrania Continua is a headache characterised by constant pain on one side of the head (and always on the same side), of moderate severity, with episodes of aggravation. Hemicrania responds to the medication known as Indomethacin.
Hemicrania Continua [...]
Headache is the most common symptom after a head injury. Post traumatic headaches, like non traumatic migraine and tension headache for some reason pose a significant challenge for clinicians and are surrounded by controversy. Because the neurological examination after mild head injury is normal and standard tests as well as imaging studies (such as MRI [...]
Generally routine neck xrays are uninformative for headache or migraine sufferers. However, this does not exclude neck disorders as the source of headache or migraine.
Therefore xrays as a form of diagnosis are not highly regarded. Nevertheless it is very important that neck xrays be undertaken in the event of any significant head or neck trauma [...]
There is clear clinical and experimental evidence that the BRAINSTEM plays a pivotal role in the migraine process.
Migraine and headache are conditions in which normal light is unpleasant, normal sound uncomfortable, and where there is an abnormal interpretation of activity – one in which normal pulsing of arteries is felt as pain.
Information from the visual [...]
Amazing! I have just come across a gentleman who in 1888 who described the migraine process in this way: “… we must not ascribe too much significance to throbbing of the increase in the pain by the cause of vascular distension; these may be due merely to the over sensitiveness of the central structures.” In [...]
