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Chronic Cluster Headache with a Pediatric Onset: The First Japanese Case Report
Shoji Kikui1, Hanako Sugiyama1, Daisuke Danno1
1Department of Neurology, Headache Center, Tominaga Hospital, Japan.
Insights
This case report details a rare pediatric case of chronic cluster headache (CCH) in a 9-year-old girl. Effective treatment involved a combination of verapamil and lomerizine, with sumatriptan for acute attacks.
Area of Science:
- Neurology
- Pediatric Neurology
- Headache Medicine
Background:
- Cluster headache is a rare neurological disorder characterized by severe unilateral head pain.
- Pediatric cluster headache is exceptionally uncommon, with limited published case studies.
- Chronic cluster headache (CCH) involves frequent, debilitating attacks over an extended period.
Abstract:
A 9-year-old female reported left-sided, excruciatingly severe, stabbing orbital pain with cranial autonomic symptoms. The attacks continued for 1 year with a remission period of 2 months. Each attack duration was approximately 120 minutes with a frequency of two to three times a day. The patient was diagnosed with chronic cluster headache (CCH) according to the third edition of the International Classification of Headache Disorders. A combination of low-dose verapamil and lomerizine once a week decreased the frequency of the attacks, and oral sumatriptan became an effective abortive therapy. No case reports of pediatric CCH have been previously published in Japan.
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