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[Symptomatic cluster headache? Apropos of 4 case reports]
Summary
Cluster headache can be a symptom of underlying conditions like maxillary sinusitis. Neurological abnormalities during attacks warrant further investigation for these rare, symptomatic headache forms.
Area of Science:
- Neurology
- Otolaryngology
Background:
- Cluster headache is a distinct primary headache disorder.
- Symptomatic forms of cluster headache are rare but important to identify.
Observation:
- This study presents two new cases of cluster headache attributed to maxillary sinusitis.
- These cases add to previously reported causes like meningioma and arteriovenous malformation.
Findings:
- Maxillary sinusitis can present with cluster headache features.
- Neurological abnormalities during headache attacks are key indicators for underlying pathology.
Implications:
- Accurate history and neurological assessment are crucial for diagnosing symptomatic cluster headache.
- Neuroradiological studies are recommended when neurological signs are present.
- Identifying underlying causes is essential for appropriate management of these headache types.