Clinical Features of Chronic Daily Headache

Seymour Solomon, Richard B. Lipton, Lawrence C. Newman

Research output: Contribution to journalArticle

108 Scopus citations

Abstract

SYNOPSIS Patients with chronic daily headaches are commonly encountered in headache specialty centers but their clinical characteristics have rarely been documented. We studied 100 consecutive patients with chronic daily headache to determine their presenting characteristics and other associated features. Half of the patients described their headache as a steady ache but throbbing pain was reported in about one third. About half estimated the degree of pain as moderate but one third claimed the typical pain was severe. A consistently unilateral site was noted in only 2 percent. Associated features characteristic of migraine were often noted: including photophobia (37 percent), phonophobia (42 percent), and nausea (24 percent). Many also reported aggravating and ameliorating factors commonly associated with migraine. We conclude that the manifestations of chronic daily headache are extremely diverse, probably reflecting the heterogeneous mechanisms which underlie this condition.

Original languageEnglish (US)
Pages (from-to)325-329
Number of pages5
JournalHeadache: The Journal of Head and Face Pain
Volume32
Issue number7
DOIs
StatePublished - Jul 1992

Keywords

  • International Headache Society
  • chronic daily headache
  • chronic tension‐type headache
  • migraine

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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