II. Symptoms
- Characteristics
- Pressing, tightening Headache
- Region
- Bilateral involvement
- Timing
- Constant and unremitting in the first 3 days and then persists
- Contrast with Migraine Headache or Tension Headache that may be become constant over a longer period of time
- Duration longer than 3 days from onset
- Occurs daily for >3 months
- Constant and unremitting in the first 3 days and then persists
- Provocative factors
- Not worse with exertion (contrast with Exertional Headache)
- No associated autonomic symptoms (contrast with Cluster Headache and other trigeminal autonomic Cephalgias)
III. Management
- Typically refractory to standard Headache Management
- Consider Migraine Prophylaxis medications