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Chronic daily headache


Chronic daily headache relates to the daily or almost daily occurrence of headache in a nonparoxysmal pattern. In this review, I discuss the presentation, development, outcome, and treatment of chronic daily headache. In the context of the development of chronic daily headache, a headache continuum is presented along with its underlying pathophysiology. The treatment section covers rebound headache, analgesic and vasoconstrictor withdrawal, and the use of long-acting opioids in intractable patients. The review concludes with a discussion of hemicrania continua, an indomethacin-responsive headache syndrome.

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Correspondence to Egilius L. H. Spierings.

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Spierings, E.L.H. Chronic daily headache. J Headache Pain 4, 111–124 (2003).

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Key words

  • Daily headache
  • Chronic daily headache
  • Presentation
  • Development
  • Tension-type headache
  • Migraine
  • Headache continuum
  • Outcome
  • Treatment
  • Rebound headache
  • Hemicrania continua