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Chronic daily headaches of long duration

Chronic daily headaches of long duration
Chronic daily headaches of long duration are characterized by headache duration ≥4 hours a day with headaches occurring ≥15 days per month for >3 months
Chronic tension-type headache: Bilateral, gradual onset, muscle tenderness common
Chronic migraine: Daily or near-daily headaches of low to moderate intensity and mild migrainous features with superimposed severe intensity headaches with more prominent migrainous features
Medication overuse headache: Usually preceded by an episodic headache disorder, typically migraine or tension-type headache, that has been treated with frequent and excessive amounts of acute symptomatic medications; often manifests as a headache that is present or develops upon awakening
New daily persistent headache: Sudden onset, usually bilateral, typically unresponsive to treatment
Hemicrania continua: Strictly unilateral, unremitting without pain-free intervals but with variable intensity, autonomic features ipsilateral to the side of pain, responsive to indomethacin
Modified from: Silberstein SD, Lipton RB, Sliwinski M. Classification of daily and near-daily headaches: field trial of revised IHS criteria. Neurology 1996; 47:871.
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