Treatment and outcome of chronic daily headache

Egilius L Spierings1

  • 1Department of Neurology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA.

Insights

Chronic daily headache (CDH) is a frequent headache occurring daily or almost daily without a clear pattern. This article discusses CDH and its similarities to hemicrania continua, which are often difficult to differentiate.

Area of Science:

  • Neurology
  • Headache Medicine

Background:

  • Chronic daily headache (CDH) is characterized by frequent headache occurrence.
  • CDH lacks a well-defined attack pattern and constitutes most daily headaches.

Purpose of the Study:

  • To define Chronic Daily Headache (CDH).
  • To discuss Hemicrania Continua and its resemblance to CDH.
  • To highlight the diagnostic challenges in distinguishing CDH from Hemicrania Continua.

Main Methods:

  • Literature review and clinical presentation analysis.
  • Comparative analysis of diagnostic criteria for CDH and Hemicrania Continua.

Main Results:

  • CDH is defined by its frequency and lack of specific attack patterns.
  • Hemicrania continua shares significant clinical similarities with CDH.
  • Distinguishing between CDH and Hemicrania Continua based solely on presentation is challenging.

Conclusions:

  • Accurate diagnosis of chronic daily headache requires careful consideration of differential diagnoses like Hemicrania Continua.
  • Further research may be needed to establish clearer diagnostic markers.

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