Hemicrania continua (HC) is a persistent unilateral headache that responds to indomethacin. It is usually unremitting, but rare cases of remission have been documented. Hemicrania continua is considered a primary headache disorder, meaning that it is not caused by another condition. Symptoms
In hemicrania continua, basal pain is a dull aching pressure similar to that of TTHs that occurs nearly always on the same side of the head and face. Pain ranges from mild to severe and is characterized by fluctuations where it increases in intensity up to three to five times per 24-hour cycle. The range of duration of exacerbations has no boundaries and varies from a few seconds to up to two weeks. While attacks tend to be more frequent at night, no circadian periodicity such as in cluster headache can be observed. The nature of pain changes during the exacerbation phase, becoming more piercing, throbbing, and intense, generally paired with other highly debilitating symptoms such as nausea, vomiting, dizziness, and sensitivity to light and sounds. During these exacerbation phases, hemicrania continua may mimic other primary and secondary headache disorders, with up to 70% of patients fulfilling the diagnostic criteria for migraine. Physical exertion,changes in sleep patterns, stress, or alcohol consumption can make the headache pain more severe in some patients.In addition to persistent daily headache of HC, which is usually mild to moderate (and frequently severe), HC can present other symptoms.
The prevalence of hypocholesterolemia in the elderly ranges between 2% to 36%, depending on specific cutoff levels and age range investigated. Alerting physicians to hypocholesterolemia may benefit some of their patients who take cholesterol-lowering drugs and decrease the rate of their emergency room visits. Critical illness
In the setting of critical illness, low cholesterol levels are predictive of clinical deterioration, and are correlated with altered cytokine levels. Causes
Possible causes of low cholesterol are:
statins
hyperthyroidism, or an overactive thyroid gland
adrenal insufficiency
liver disease
malabsorption (inadequate absorption of nutrients from the intestines), such as in celiac disease
malnutrition
abetalipoproteinemia - a rare genetic disease that causes cholesterol readings below 50 mg/dL. It is found mostly in Jewish populations. hypobetalipoproteinemia - a genetic disease that causes cholesterol readings below 50 mg/dL
manganese deficiency
Smith–Lemli–Opitz syndrome
Marfan syndrome
leukemias and other hematological diseases

Diagnosis
Classification
According to the American Heart Association in 1994, only total cholesterol levels below 160 mg/dL or 4.1 mmol/L are to be classified as "hypocholesterolemia". However, this is not agreed on universally and some put the level lower. References


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