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3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
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Cluster headache--acute and prophylactic therapy.

Avi Ashkenazi1, Todd Schwedt

  • 1The Neurologic Group of Bucks/Montgomery County-Neurology, Doylestown, PA 18901, USA.

Headache
|February 3, 2011
PubMed
Summary
This summary is machine-generated.

Cluster headache (CH) is severe unilateral head pain with autonomic symptoms. Treatments include sumatriptan, oxygen, verapamil, and newer neurostimulation options for refractory cases.

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Area of Science:

  • Neurology
  • Pain Medicine

Background:

  • Cluster headache (CH) is a primary headache syndrome known for severe unilateral pain and cranial autonomic symptoms.
  • It presents in episodic and chronic forms, with episodic CH often following a circannual rhythm.

Purpose of the Study:

  • To review current and emerging therapeutic options for cluster headache management.
  • To highlight advancements in treating refractory cluster headache.

Main Methods:

  • Review of established and novel treatments for acute and preventive management of cluster headache.
  • Discussion of neurostimulation techniques and their role in refractory CH.

Main Results:

  • First-line acute treatments include sumatriptan injection and oxygen inhalation.
  • Verapamil is the primary preventive medication, with other options like lithium and topiramate also used.
  • Neurostimulation, including occipital nerve and hypothalamic stimulation, offers new hope for refractory patients.

Conclusions:

  • Treatment for cluster headache ranges from acute interventions to preventive strategies and advanced neurostimulation.
  • Novel therapies are expanding options for patients with refractory cluster headache, reducing reliance on ablative surgery.