{"id":629,"date":"2021-01-15T14:01:51","date_gmt":"2021-01-15T14:01:51","guid":{"rendered":"https:\/\/novo2.drandremansano.com.br\/?p=629"},"modified":"2021-01-15T14:01:51","modified_gmt":"2021-01-15T14:01:51","slug":"hemicrania-continua","status":"publish","type":"post","link":"https:\/\/drandremansano.com.br\/index.php\/2021\/01\/15\/hemicrania-continua\/","title":{"rendered":"Hemicrania continua"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"629\" class=\"elementor elementor-629\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3ed8521 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-equal-height-no\" data-id=\"3ed8521\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-07313cc\" data-id=\"07313cc\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-618742b elementor-widget elementor-widget-image\" data-id=\"618742b\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"490\" height=\"490\" src=\"https:\/\/drandremansano.com.br\/wp-content\/uploads\/2021\/01\/icone-dor-de-cabeca.png\" class=\"attachment-large size-large wp-image-1713\" alt=\"\" srcset=\"https:\/\/drandremansano.com.br\/wp-content\/uploads\/2021\/01\/icone-dor-de-cabeca.png 490w, https:\/\/drandremansano.com.br\/wp-content\/uploads\/2021\/01\/icone-dor-de-cabeca-300x300.png 300w, https:\/\/drandremansano.com.br\/wp-content\/uploads\/2021\/01\/icone-dor-de-cabeca-150x150.png 150w\" sizes=\"(max-width: 490px) 100vw, 490px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-6c35321\" data-id=\"6c35321\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3ae9066 elementor-widget elementor-widget-heading\" data-id=\"3ae9066\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">HEMICRANIA CONTINUA<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6b9c117e elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-equal-height-no\" data-id=\"6b9c117e\" data-element_type=\"section\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5c2697aa\" data-id=\"5c2697aa\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d3d850f elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"d3d850f\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bc4df26 elementor-widget elementor-widget-heading\" data-id=\"bc4df26\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Hemicrania cont\u00ednua \u2013 a dor de cabe\u00e7a sempre do mesmo lado<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-209c4208 elementor-widget elementor-widget-text-editor\" data-id=\"209c4208\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><!-- wp:paragraph --><\/p>\n<p><span style=\"color: var( --e-global-color-355cf38 ); font-family: var( --e-global-typography-1829d93-font-family ), Sans-serif; font-size: var( --e-global-typography-1829d93-font-size ); font-weight: var( --e-global-typography-1829d93-font-weight ); letter-spacing: var( --e-global-typography-1829d93-letter-spacing );\">O termo \u201cHemicrania cont\u00ednua\u201d foi cunhado em 1984 e significa um quadro de dor de um lado s\u00f3 da cabe\u00e7a que ocorre de forma cont\u00ednua. A maioria dos pacientes inicia o quadro doloroso por volta dos 30 anos de idade e esse tipo de dor de cabe\u00e7a \u00e9 duas vezes mais frequente em mulheres do que nos homens.<\/span><\/p>\n<p><!-- \/wp:paragraph --><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-069ec9f elementor-widget elementor-widget-toggle\" data-id=\"069ec9f\" data-element_type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-6941\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-6941\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-right\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-plus-circle\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">O QUE SENTE O PACIENTE COM HEMICRANIA CONT\u00cdNUA?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-6941\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-6941\"><p>Como o pr\u00f3prio nome diz, o paciente com hemicrania cont\u00ednua sente uma dor ininterrupta de um lado s\u00f3 da cabe\u00e7a. Cerca de 20% dos pacientes podem experimentar algum per\u00edodo livre de dor. As dores ocorrem principalmente na regi\u00e3o ao redor dos olhos, regi\u00e3o frontal e temporal (Figura 1). As dores variam de intensidade mas n\u00e3o costumam ser excruciantes como na cefaleia em salvas.<\/p>\n<p>\u00a0<\/p>\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/drandremansano.com.br\/wp-content\/uploads\/2021\/02\/image1-9.jpg\" \/><\/figure>\n<p>Figura 1: Regi\u00f5es mais frequentes das dores do paciente com hemicrania cont\u00ednua.<\/p>\n<p>Durante os per\u00edodos de dores mais intensas \u00e9 frequente os pacientes manifestarem sintomas chamados de auton\u00f4micos, do lado afetado, como:<\/p>\n<ul>\n<li>Lacrimejamento<\/li>\n<li>Congest\u00e3o nasal (nariz entupido)<\/li>\n<li>Vermelhid\u00e3o no olho<\/li>\n<li>Fraqueza na p\u00e1lpebra<\/li>\n<li>Rinorreia (nariz escorrendo)<\/li>\n<li>Suor facial<\/li>\n<li>Edema palpebral (incha\u00e7o na p\u00e1lpebra)<\/li>\n<\/ul><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-6942\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-6942\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-right\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-plus-circle\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">COMO \u00c9 FEITO O DIAGN\u00d3STICO?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-6942\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-6942\"><p>O diagn\u00f3stico da hemicrania cont\u00ednua \u00e9 realizado, principalmente, atrav\u00e9s dos dados da hist\u00f3ria cl\u00ednica, ou seja, atrav\u00e9s das caracter\u00edsticas das dores que o paciente relata para o m\u00e9dico. Um dos crit\u00e9rios para o diagn\u00f3stico \u00e9 uma melhora expressiva das dores com uso da indometacina, uma anti-inflamat\u00f3rio espec\u00edfico.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-6943\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-6943\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-right\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-plus-circle\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">TRATAMENTO<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-6943\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-6943\"><p><strong>TRATAMENTO<\/strong><\/p>\n<p>A indometacina, um tipo de anti-inflamat\u00f3rio, \u00e9 o tratamento de escolha para o paciente com hemicrania cont\u00ednua. \u00c9 muito importante acharmos a menor dose da medica\u00e7\u00e3o poss\u00edvel, com objetivo de reduzir a ocorr\u00eancia de efeitos colaterais.<\/p>\n<p class=\"referencia\"><strong>REFER\u00caNCIAS BIBLIOGR\u00c1FICAS<\/strong><sup><strong>1\u20134<\/strong><br \/><\/sup>1. Sjaastad, O. &amp; Spierings, E. L. \u201cHemicrania continua\u201d: another headache absolutely responsive to indomethacin.\u00a0<em>Cephalalgia<\/em>\u00a0<strong>4<\/strong>, 65\u201370 (1984).<br \/>2. Mehta, A., Chilakamarri, P., Zubair, A. &amp; Kuruvilla, D. E. Hemicrania Continua: a Clinical Perspective on Diagnosis and Management. <em>Curr. Neurol. Neurosci. Rep.<\/em>\u00a0<strong>18<\/strong>, 95 (2018).<br \/>3. Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd edition (beta version). <em>Cephalalgia<\/em>\u00a0<strong>33<\/strong>, 629\u2013808 (2013).<br \/>4. Pareja, J. A. &amp; Sjaastad, O. Chronic paroxysmal hemicrania and hemicrania continua. Interval between indomethacin administration and response. <em>Headache<\/em>\u00a0<strong>36<\/strong>, 20\u201323 (1996).<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>HEMICRANIA CONTINUA Hemicrania cont\u00ednua \u2013 a dor de cabe\u00e7a sempre do mesmo lado O termo \u201cHemicrania cont\u00ednua\u201d foi cunhado em 1984 e significa um quadro de dor de um lado s\u00f3 da cabe\u00e7a que ocorre de forma cont\u00ednua. A maioria dos pacientes inicia o quadro doloroso por volta dos 30 anos de idade e esse tipo de dor de cabe\u00e7a \u00e9 duas vezes mais frequente em mulheres do que nos homens. O QUE SENTE O PACIENTE COM HEMICRANIA CONT\u00cdNUA? Como o pr\u00f3prio nome diz, o paciente com hemicrania cont\u00ednua sente uma dor ininterrupta de um lado s\u00f3 da cabe\u00e7a. Cerca de 20% dos pacientes podem experimentar algum per\u00edodo livre de dor. As dores ocorrem principalmente na regi\u00e3o ao redor dos olhos, regi\u00e3o frontal e temporal (Figura 1). As dores variam de intensidade mas n\u00e3o costumam ser excruciantes como na cefaleia em salvas. \u00a0 Figura 1: Regi\u00f5es mais frequentes das dores do paciente com hemicrania cont\u00ednua. Durante os per\u00edodos de dores mais intensas \u00e9 frequente os pacientes manifestarem sintomas chamados de auton\u00f4micos, do lado afetado, como: Lacrimejamento Congest\u00e3o nasal (nariz entupido) Vermelhid\u00e3o no olho Fraqueza na p\u00e1lpebra Rinorreia (nariz escorrendo) Suor facial Edema palpebral (incha\u00e7o na p\u00e1lpebra) COMO \u00c9 FEITO O DIAGN\u00d3STICO? O diagn\u00f3stico da hemicrania cont\u00ednua \u00e9 realizado, principalmente, atrav\u00e9s dos dados da hist\u00f3ria cl\u00ednica, ou seja, atrav\u00e9s das caracter\u00edsticas das dores que o paciente relata para o m\u00e9dico. Um dos crit\u00e9rios para o diagn\u00f3stico \u00e9 uma melhora expressiva das dores com uso da indometacina, uma anti-inflamat\u00f3rio espec\u00edfico. TRATAMENTO TRATAMENTO A indometacina, um tipo de anti-inflamat\u00f3rio, \u00e9 o tratamento de escolha para o paciente com hemicrania cont\u00ednua. \u00c9 muito importante acharmos a menor dose da medica\u00e7\u00e3o poss\u00edvel, com objetivo de reduzir a ocorr\u00eancia de efeitos colaterais. REFER\u00caNCIAS BIBLIOGR\u00c1FICAS1\u201341. Sjaastad, O. &amp; Spierings, E. L. \u201cHemicrania continua\u201d: another headache absolutely responsive to indomethacin.\u00a0Cephalalgia\u00a04, 65\u201370 (1984).2. Mehta, A., Chilakamarri, P., Zubair, A. &amp; Kuruvilla, D. E. Hemicrania Continua: a Clinical Perspective on Diagnosis and Management. Curr. Neurol. Neurosci. Rep.\u00a018, 95 (2018).3. Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia\u00a033, 629\u2013808 (2013).4. Pareja, J. A. &amp; Sjaastad, O. Chronic paroxysmal hemicrania and hemicrania continua. Interval between indomethacin administration and response. Headache\u00a036, 20\u201323 (1996).<\/p>\n","protected":false},"author":1,"featured_media":767,"comment_status":"open","ping_status":"open","sticky":false,"template":"elementor_header_footer","format":"standard","meta":{"_joinchat":[],"footnotes":""},"categories":[4],"tags":[],"class_list":["post-629","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-dores-de-cabeca"],"_links":{"self":[{"href":"https:\/\/drandremansano.com.br\/index.php\/wp-json\/wp\/v2\/posts\/629"}],"collection":[{"href":"https:\/\/drandremansano.com.br\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drandremansano.com.br\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drandremansano.com.br\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/drandremansano.com.br\/index.php\/wp-json\/wp\/v2\/comments?post=629"}],"version-history":[{"count":0,"href":"https:\/\/drandremansano.com.br\/index.php\/wp-json\/wp\/v2\/posts\/629\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drandremansano.com.br\/index.php\/wp-json\/wp\/v2\/media\/767"}],"wp:attachment":[{"href":"https:\/\/drandremansano.com.br\/index.php\/wp-json\/wp\/v2\/media?parent=629"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drandremansano.com.br\/index.php\/wp-json\/wp\/v2\/categories?post=629"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drandremansano.com.br\/index.php\/wp-json\/wp\/v2\/tags?post=629"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}