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[Cluster headache. A clinical study].

A Molins1, A Lafuente, A Malagelada

  • 1Unidad de Cefaleas, Servicio de Neurología, Barcelona.

Neurologia (Barcelona, Spain)
|March 1, 1991
PubMed
Summary
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Cluster headache predominantly affects men and features persistent, one-sided pain, often occurring nocturnally during spring. This study highlights unique clinical aspects and the importance of detailed patient history for diagnosis.

Area of Science:

  • Neurology
  • Clinical Medicine

Context:

  • Cluster headache is a debilitating neurological disorder.
  • Understanding its clinical presentation is crucial for diagnosis and management.

Purpose:

  • To report the personal experience with cluster headache in 108 patients.
  • To identify significant clinical findings and compare them with existing literature.

Summary:

  • A male predominance (4.7:1 ratio) was observed.
  • Persistent, homolateral pain (100%) and same-sided recurrence (96%) were key features.
  • Attacks predominantly occurred nocturnally during spring.
  • Tenderness in the carotid territory ipsilateral to pain is a newly reported association.
  • A lower prevalence of Horner's sign was noted compared to international data.

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Impact:

  • Highlights the importance of detailed anamnesis for accurate clinical definition.
  • Provides novel insights into cluster headache presentation, including a new associated symptom.
  • Contributes to the understanding of cluster headache epidemiology and clinical characteristics.