Tags

Type your tag names separated by a space and hit enter

Treatment and management of cluster headache.
Curr Pain Headache Rep. 2001 Feb; 5(1):83-91.CP

Abstract

Cluster headache is an uncommon yet well-defined neurovascular syndrome occurring in both episodic and chronic varieties. The most striking feature of cluster headache is the unmistakable circadian and circannual periodicity. Inheritance may play a role in some families. The attacks are of extreme intensity, of short duration, occur unilaterally, and are accompanied by signs and symptoms of autonomic dysfunction. In contrast to migraine, during an attack the cluster patient prefers to pace about. Attacks frequently occur at night. Although the pathophysiology of cluster headache remains to be fully elucidated, several seminal observations have recently been made. The medical treatment of cluster headache includes both acute therapy aimed at aborting individual attacks and prophylactic therapy aimed at preventing recurrent attacks during the cluster period. Agents used for acute therapy include inhalation of oxygen, sumatriptan, and dihydroergotamine. Transitional prophylaxis involves the short-term use of either corticosteroids or ergotamine derivatives. The cornerstone of maintenance prophylaxis is verapamil, yet methysergide, lithium, and divalproex sodium may also be employed. In some patients, melatonin or topiramate may be useful adjunctive therapies.

Authors+Show Affiliations

Department of Neurology, Mayo Clinic, 13400 E Shea Boulevard, Scottsdale, AZ 85259, USA. dodick.david@mayo.eduNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

11252143

Citation

Dodick, D W., and D J. Capobianco. "Treatment and Management of Cluster Headache." Current Pain and Headache Reports, vol. 5, no. 1, 2001, pp. 83-91.
Dodick DW, Capobianco DJ. Treatment and management of cluster headache. Curr Pain Headache Rep. 2001;5(1):83-91.
Dodick, D. W., & Capobianco, D. J. (2001). Treatment and management of cluster headache. Current Pain and Headache Reports, 5(1), 83-91.
Dodick DW, Capobianco DJ. Treatment and Management of Cluster Headache. Curr Pain Headache Rep. 2001;5(1):83-91. PubMed PMID: 11252143.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Treatment and management of cluster headache. AU - Dodick,D W, AU - Capobianco,D J, PY - 2001/3/17/pubmed PY - 2001/5/26/medline PY - 2001/3/17/entrez SP - 83 EP - 91 JF - Current pain and headache reports JO - Curr Pain Headache Rep VL - 5 IS - 1 N2 - Cluster headache is an uncommon yet well-defined neurovascular syndrome occurring in both episodic and chronic varieties. The most striking feature of cluster headache is the unmistakable circadian and circannual periodicity. Inheritance may play a role in some families. The attacks are of extreme intensity, of short duration, occur unilaterally, and are accompanied by signs and symptoms of autonomic dysfunction. In contrast to migraine, during an attack the cluster patient prefers to pace about. Attacks frequently occur at night. Although the pathophysiology of cluster headache remains to be fully elucidated, several seminal observations have recently been made. The medical treatment of cluster headache includes both acute therapy aimed at aborting individual attacks and prophylactic therapy aimed at preventing recurrent attacks during the cluster period. Agents used for acute therapy include inhalation of oxygen, sumatriptan, and dihydroergotamine. Transitional prophylaxis involves the short-term use of either corticosteroids or ergotamine derivatives. The cornerstone of maintenance prophylaxis is verapamil, yet methysergide, lithium, and divalproex sodium may also be employed. In some patients, melatonin or topiramate may be useful adjunctive therapies. SN - 1531-3433 UR - https://www.unboundmedicine.com/medline/citation/11252143/Treatment_and_management_of_cluster_headache_ DB - PRIME DP - Unbound Medicine ER -