HA- Hemicrania Continua Flashcards
1
Q
Hemicrania continua diagnosis
A
Unilateral HA that presents for >3 months, with exacerbations of moderate or greater intensity
Either or both of the following:
At least 1 of the following symptoms or signs, ipsilateral to the HA:
Conjunctival infection and/or lacrimation
Nasal congestion and/or rhinorrhea
Eyelid edema
Forehead and facial sweating
Miosis and/or ptosis
Sense of restlessness or agitation, or aggravation of the pain by movement
Responds absolutely to therapeutic doses of indomethacin
2
Q
Hemicrania continua treatment (the main one)
A
INDOMETHACIN
3
Q
Alternate hemicrania continua treatment options
A
Botox, occipital nerve stimulation, vagal nerve stimulation, peripheral nerve blocks
