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Cluster headache: When to worry? Two case reports.

Matteo Bellamio¹, Mariagiulia Anglani², Federico Mainardi³

¹1 Headache Centre, Department of Neurosciences, University of Padua, Italy.

Cephalalgia : an International Journal of Headache

|May 28, 2016

Summary

This summary is machine-generated.

Cluster headache (CH) can sometimes be secondary to underlying pathologies. Monitoring for significant changes in headache patterns is crucial for diagnosing secondary causes like brain lesions.

Keywords:

Cluster headache cavernous angioma cerebral venous thrombosis cluster headache mechanism multiple sclerosis secondary cluster headache

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Area of Science:

Neurology
Neuroscience
Headache Medicine

Background:

Cluster headache (CH) diagnosis relies on criteria from the International Classification of Headache Disorders, 3rd beta edition (ICHD-III).
CH is occasionally a secondary symptom of other underlying medical conditions.
The ICHD-III provides diagnostic guidelines but may require re-evaluation in atypical cases.

Observation:

Two patients initially met ICHD-III criteria for CH.
Both patients later exhibited significant alterations in their headache history.
These modifications were attributed to secondary pathologies: a pontine cavernous angioma and cerebral venous thrombosis.

Findings:

Clinical presentation of CH can evolve due to secondary causes.
Radical modifications in headache patterns signal potential underlying pathologies.
Early detection of secondary causes is vital for appropriate patient management.

Implications:

Emphasizes the need for vigilance regarding evolving CH symptoms.
Suggests repeat or further clinical investigations when CH natural history changes.
Highlights the importance of considering secondary pathologies in CH diagnosis and management.
Contributes to understanding the interplay between CH and specific brain lesions.