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[Cluster headache (Horton's headache)].

Peer Tfelt-Hansen1, Rigmor Højland Jensen

  • 1Amtssygehuset i Glostrup, Dansk Hovedpinecenter, Neurologisk Afdeling, Glostrup. tfelt@inet.uni2.dk

Ugeskrift for Laeger
|January 16, 2007
PubMed
Summary

Cluster headaches cause severe, one-sided head pain and occur in bouts. Treatments include oxygen or sumatriptan for attacks and verapamil for prevention.

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Area of Science:

  • Neurology
  • Neuroscience

Context:

  • Cluster headache is a primary neurovascular headache disorder.
  • Characterized by severe, unilateral orbital, supraorbital, or temporal pain.

Purpose:

  • To review the clinical presentation, diagnosis, and investigations of cluster headaches.
  • To outline current treatment and prophylaxis strategies.

Summary:

  • Cluster headaches involve intense, short-lasting, unilateral head pain, often with autonomic symptoms like tearing and rhinorrhea.
  • The hypothalamus is implicated in the pathophysiology of this condition.
  • Acute attacks are treated with oxygen or subcutaneous sumatriptan.
  • Prophylaxis involves medications such as verapamil, ergotamine, and prednisolone.

Impact:

  • Highlights the importance of early diagnosis for effective management.
  • Emphasizes specific treatment protocols for cluster headache attacks and prophylaxis.

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