Hemicrania continua for the headache. When the symptoms of hemicrania continua are present, it's considered "diagnostic" if they respond completely to indomethacin. The efficacy of indomethacin may not be long term for all patients, as can eventually become ineffective. The factor that allows hemicrania continua and its exacerbations to be differentiated from migraine and cluster headache is that hemicrania continua is completely responsive to indomethacin. Triptans and other abortive medications do not affect hemicrania continua. In addition to persistent daily headache of HC, which is usually mild to moderate (and frequently severe), HC can present other symptoms. These additional symptoms of HC
Chronic paroxysmal hemicrania and are found in 1 in 1000 people. Cluster headaches occur primarily in men, while CPH is more commonly diagnosed in women. The female to male ratio of diagnosed patients can range anywhere from 1.6:1 to 2.36:1. Symptoms may begin to appear at any age, but onset usually occurs in adulthood with a mean starting age within the thirties. CPH was discovered by Norwegians Ottar Sjaastad and Inge Dale in 1974. The term 'chronic paroxysmal hemicrania' was first used in 1976 by Sjaastad to describe a condition seen in two of their patients who were experiencing repeated solitary and limited