Hemicrania continua: major shortcomings in the new classification

Hemicrania continua ( HC) was described and coined by Sjaastad and Spierings in 1984. Later cases, carrying this appellation should, grossly, conform to this original description. The proposed classification criteria (ICHD, 3rd edition beta version) for HC has major shortcomings, and ordinary HC cas...

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Detalles Bibliográficos
Autores principales: Fredriksen, Torbjørn A, Antonaci, Fabio, Sjaastad, Ottar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer 2014
Materias:
Letter to the Editor
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4182754/
https://www.ncbi.nlm.nih.gov/pubmed/25216994
http://dx.doi.org/10.1186/1129-2377-15-61
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author Fredriksen, Torbjørn A
Antonaci, Fabio
Sjaastad, Ottar
author_facet Fredriksen, Torbjørn A
Antonaci, Fabio
Sjaastad, Ottar
author_sort Fredriksen, Torbjørn A
collection PubMed
description Hemicrania continua ( HC) was described and coined by Sjaastad and Spierings in 1984. Later cases, carrying this appellation should, grossly, conform to this original description. The proposed classification criteria (ICHD, 3rd edition beta version) for HC has major shortcomings, and ordinary HC cases do not fulfill the proposed criteria. Relatively rare symptoms and signs are e.g. made obligatory (point C 1). And the recommended dosage of indomethacin- both test and long-term dosages-is unallowably high. In this way, bogus HC cases are systematically created. This irrational diagnostic system is in urgent need of a major revision.
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spelling pubmed-41827542014-10-02 Hemicrania continua: major shortcomings in the new classification Fredriksen, Torbjørn A Antonaci, Fabio Sjaastad, Ottar J Headache Pain Letter to the Editor Hemicrania continua ( HC) was described and coined by Sjaastad and Spierings in 1984. Later cases, carrying this appellation should, grossly, conform to this original description. The proposed classification criteria (ICHD, 3rd edition beta version) for HC has major shortcomings, and ordinary HC cases do not fulfill the proposed criteria. Relatively rare symptoms and signs are e.g. made obligatory (point C 1). And the recommended dosage of indomethacin- both test and long-term dosages-is unallowably high. In this way, bogus HC cases are systematically created. This irrational diagnostic system is in urgent need of a major revision. Springer 2014 2014-09-13 /pmc/articles/PMC4182754/ /pubmed/25216994 http://dx.doi.org/10.1186/1129-2377-15-61 Text en Copyright © 2014 Fredriksen et al.; licensee Springer. http://creativecommons.org/licenses/by/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.
spellingShingle Letter to the Editor
Fredriksen, Torbjørn A
Antonaci, Fabio
Sjaastad, Ottar
Hemicrania continua: major shortcomings in the new classification
title Hemicrania continua: major shortcomings in the new classification
title_full Hemicrania continua: major shortcomings in the new classification
title_fullStr Hemicrania continua: major shortcomings in the new classification
title_full_unstemmed Hemicrania continua: major shortcomings in the new classification
title_short Hemicrania continua: major shortcomings in the new classification
title_sort hemicrania continua: major shortcomings in the new classification
topic Letter to the Editor
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4182754/
https://www.ncbi.nlm.nih.gov/pubmed/25216994
http://dx.doi.org/10.1186/1129-2377-15-61
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