Cluster headache: Difference between revisions
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In [[medicine]], a '''cluster headache''' is "a primary [[headache]] disorder that is characterized by severe, strictly unilateral [[pain]] which is orbital, supraorbital, temporal or in any combination of these sites, lasting 15-180 min. occurring 1 to 8 times a day. The attacks are associated with one or more of the following, all of which are ipsilateral: conjunctival injection, lacrimation, nasal congestion, rhinorrhea, facial [[sweating]], eyelid edema, and [[miosis]]."<ref>{{MeSH}}</ref> | In [[medicine]], a '''cluster headache''' is "a primary [[headache]] disorder that is characterized by severe, strictly unilateral [[pain]] which is orbital, supraorbital, temporal or in any combination of these sites, lasting 15-180 min. occurring 1 to 8 times a day. The attacks are associated with one or more of the following, all of which are ipsilateral: conjunctival injection, lacrimation, nasal congestion, rhinorrhea, facial [[sweating]], eyelid edema, and [[miosis]]."<ref>{{MeSH}}</ref> | ||
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==Treatment== | ==Treatment== | ||
Treatment options have been reviewed in a [[meta-analysis]].<ref name="pmid20679639">{{cite journal| author=Francis GJ, Becker WJ, Pringsheim TM| title=Acute and preventive pharmacologic treatment of cluster headache. | journal=Neurology | year= 2010 | volume= 75 | issue= 5 | pages= 463-73 | pmid=20679639 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20679639 | doi=10.1212/WNL.0b013e3181eb58c8 }} </ref> | Treatment options have been reviewed in a [[meta-analysis]].<ref name="pmid20679639">{{cite journal| author=Francis GJ, Becker WJ, Pringsheim TM| title=Acute and preventive pharmacologic treatment of cluster headache. | journal=Neurology | year= 2010 | volume= 75 | issue= 5 | pages= 463-73 | pmid=20679639 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20679639 | doi=10.1212/WNL.0b013e3181eb58c8 }} </ref> | ||
==References== | |||
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Latest revision as of 07:24, 16 October 2011
In medicine, a cluster headache is "a primary headache disorder that is characterized by severe, strictly unilateral pain which is orbital, supraorbital, temporal or in any combination of these sites, lasting 15-180 min. occurring 1 to 8 times a day. The attacks are associated with one or more of the following, all of which are ipsilateral: conjunctival injection, lacrimation, nasal congestion, rhinorrhea, facial sweating, eyelid edema, and miosis."[1]
Diagnosis
Diagnostic criteria developed by the International Headache Society are:[2]
A. At least 5 attacks fulfilling criteria B-D
B. Severe or very severe unilateral orbital, supraorbital and/or temporal pain lasting 15-180 minutes if untreated1
C. Headache is accompanied by at least one of the following:
- ipsilateral conjunctival injection and/or lacrimation
- ipsilateral nasal congestion and/or rhinorrhoea
- ipsilateral eyelid oedema
- ipsilateral forehead and facial sweating
- ipsilateral miosis and/or ptosis
- a sense of restlessness or agitation
D. Attacks have a frequency from one every other day to 8 per day
E. Not attributed to another disorder
Treatment
Treatment options have been reviewed in a meta-analysis.[3]
References
- ↑ Anonymous (2024), Cluster headache (English). Medical Subject Headings. U.S. National Library of Medicine.
- ↑ International Headache Society. Cluster headache
- ↑ Francis GJ, Becker WJ, Pringsheim TM (2010). "Acute and preventive pharmacologic treatment of cluster headache.". Neurology 75 (5): 463-73. DOI:10.1212/WNL.0b013e3181eb58c8. PMID 20679639. Research Blogging.