Diagnostic criteria for hemicrania continua

Description:

Persistent, strictly unilateral headache, associated with ipsilateral conjunctival injection, lacrimation, nasal congestion, rhinorrhea, forehead and facial sweating, miosis, ptosis and/or eyelid edema, and/or with restlessness or agitation. The headache is absolutely sensitive to indomethacin.

Diagnostic criteria:

Unilateral headache fulfilling criteria B to D

Present for more than three months, with exacerbations of moderate or greater intensity

Either or both of the following:

At least one of the following symptoms or signs, ipsilateral to the headache:

Conjunctival injection and/or lacrimation
Nasal congestion and/or rhinorrhea
Eyelid edema
Forehead and facial sweating
Miosis and/or ptosis

A sense of restlessness or agitation, or aggravation of the pain by movement

Responds absolutely to therapeutic doses of indomethacin

Not better accounted for by another ICHD-3 diagnosis

ICHD-3: International Classification of Headache Disorders, 3^rd edition.

Reproduced with permission of the International Headache Society. From: Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd edition. Cephalalgia 2018; 38:1. Copyright © 2018 International Headache Society. https://ihs-headache.org/en/. https://journals.sagepub.com/home/cep.

Graphic 62652 Version 6.0

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Diagnostic criteria for hemicrania continua