Open Access

Chronic daily headache

  • Egilius L. H. Spierings1
The Journal of Headache and PainOfficial Journal of the Italian Society for the Study of Headaches4:45

DOI: 10.1007/s10194-003-0045-6

Received: 5 March 2003

Accepted: 16 April 2003


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.

Key words

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