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Related Experiment Videos

[Headache attacks with ipsilateral autonomic symptoms].

A May1

  • 1Neurologische Klinik, Universitätsklinikum Hamburg-Eppendorf. a.may@uke.uni-hamburg.de

Schmerz (Berlin, Germany)
|September 28, 2004
PubMed
Summary
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Trigeminal autonomic cephalgias (TACs), including cluster headache, have severe head pain with autonomic symptoms. Effective treatments involve acute therapies like oxygen and prophylactic medications such as verapamil.

Area of Science:

  • Neurology
  • Headache Medicine

Context:

  • Trigeminal autonomic cephalgias (TACs) are a group of primary headache disorders characterized by unilateral head pain and associated autonomic symptoms.
  • Recent classifications, such as the International Headache Society (IHS) criteria, group cluster headache, paroxysmal hemicrania, and SUNCT syndrome under TACs.
  • These conditions often exhibit chronobiological patterns, frequently occurring during specific sleep stages.

Purpose:

  • To review the clinical presentation and current therapeutic strategies for trigeminal autonomic cephalgias (TACs).
  • To provide an overview of acute and prophylactic treatment options for these debilitating headache disorders.

Summary:

  • TACs share key clinical features: strictly unilateral head pain accompanied by cranial autonomic symptoms.

Related Experiment Videos

  • Paroxysmal hemicrania and hemicrania continua show significant improvement with indomethacin.
  • Acute cluster headache attacks are managed with oxygen inhalation or serotonin agonists, while verapamil is the preferred prophylactic agent.
  • Impact:

    • This review consolidates essential information on TACs, aiding clinicians in diagnosis and management.
    • Despite limited evidence-based medicine (EBM) studies, current therapeutic approaches offer sufficient relief for most patients.
    • Improved understanding and management of TACs can enhance patient quality of life.