Is Hemicrania Continua a Single Entity or the Association of Two Headache Forms? Considerations From a Case Report

Authors

  • Marta Allena MD,

    1. From the University Centre for the Study of Adaptive Disorders and Headache (UCADH), University of Pavia and Headache Centre, IRCCS ‘C. Mondino Institute of Neurology’ Foundation, Pavia, Italy (M. Allena, C. Tassorelli, G. Sances, E. Guaschino, G. Sandrini, G. Nappi, and F. Antonaci); Department of Clinical Neurology and Otorhinolaryngology, University of Roma “La Sapienza” (G. Nappi); UCADH, Section of Varese (F. Antonaci).
    Search for more papers by this author
  • Christina Tassorelli MD, PhD,

    1. From the University Centre for the Study of Adaptive Disorders and Headache (UCADH), University of Pavia and Headache Centre, IRCCS ‘C. Mondino Institute of Neurology’ Foundation, Pavia, Italy (M. Allena, C. Tassorelli, G. Sances, E. Guaschino, G. Sandrini, G. Nappi, and F. Antonaci); Department of Clinical Neurology and Otorhinolaryngology, University of Roma “La Sapienza” (G. Nappi); UCADH, Section of Varese (F. Antonaci).
    Search for more papers by this author
  • Grazia Sances,

    1. From the University Centre for the Study of Adaptive Disorders and Headache (UCADH), University of Pavia and Headache Centre, IRCCS ‘C. Mondino Institute of Neurology’ Foundation, Pavia, Italy (M. Allena, C. Tassorelli, G. Sances, E. Guaschino, G. Sandrini, G. Nappi, and F. Antonaci); Department of Clinical Neurology and Otorhinolaryngology, University of Roma “La Sapienza” (G. Nappi); UCADH, Section of Varese (F. Antonaci).
    Search for more papers by this author
  • Elena Guaschino MD,

    1. From the University Centre for the Study of Adaptive Disorders and Headache (UCADH), University of Pavia and Headache Centre, IRCCS ‘C. Mondino Institute of Neurology’ Foundation, Pavia, Italy (M. Allena, C. Tassorelli, G. Sances, E. Guaschino, G. Sandrini, G. Nappi, and F. Antonaci); Department of Clinical Neurology and Otorhinolaryngology, University of Roma “La Sapienza” (G. Nappi); UCADH, Section of Varese (F. Antonaci).
    Search for more papers by this author
  • Giorgio Sandrini MD,

    1. From the University Centre for the Study of Adaptive Disorders and Headache (UCADH), University of Pavia and Headache Centre, IRCCS ‘C. Mondino Institute of Neurology’ Foundation, Pavia, Italy (M. Allena, C. Tassorelli, G. Sances, E. Guaschino, G. Sandrini, G. Nappi, and F. Antonaci); Department of Clinical Neurology and Otorhinolaryngology, University of Roma “La Sapienza” (G. Nappi); UCADH, Section of Varese (F. Antonaci).
    Search for more papers by this author
  • Giuseppe Nappi MD,

    1. From the University Centre for the Study of Adaptive Disorders and Headache (UCADH), University of Pavia and Headache Centre, IRCCS ‘C. Mondino Institute of Neurology’ Foundation, Pavia, Italy (M. Allena, C. Tassorelli, G. Sances, E. Guaschino, G. Sandrini, G. Nappi, and F. Antonaci); Department of Clinical Neurology and Otorhinolaryngology, University of Roma “La Sapienza” (G. Nappi); UCADH, Section of Varese (F. Antonaci).
    Search for more papers by this author
  • Fabios Antonaci MD, PhD

    1. From the University Centre for the Study of Adaptive Disorders and Headache (UCADH), University of Pavia and Headache Centre, IRCCS ‘C. Mondino Institute of Neurology’ Foundation, Pavia, Italy (M. Allena, C. Tassorelli, G. Sances, E. Guaschino, G. Sandrini, G. Nappi, and F. Antonaci); Department of Clinical Neurology and Otorhinolaryngology, University of Roma “La Sapienza” (G. Nappi); UCADH, Section of Varese (F. Antonaci).
    Search for more papers by this author

  • Conflict of Interest: None

Marta Allena, MD, IRCCS ‘C. Mondino Institute of Neurology’ Foundation, Via Mondino 2, Pavia 27100, Italy.

Abstract

Hemicrania continua (HC) belongs to the group of primary headaches and it is characterized by a strictly unilateral, continuous headache of moderate intensity, with superimposed exacerbations of severe intensity that are accompanied by trigeminal autonomic features. The syndrome is completely responsive to indomethacin. Here we report a case of a 49-year-old man with HC, which may be viewed as a combination of different types of headache, ie, chronic tension-type headache and  trigeminal autonomic cephalalgia. The analysis of this case raises interesting issues regarding the proper place of HC among the primary headache forms.

Ancillary