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Erythrocyte choline concentrations and cluster headache.

J de Belleroche, G E Cook, I Das

    British Medical Journal (Clinical Research Ed.)
    |January 28, 1984
    PubMed
    Summary

    Erythrocyte choline levels are significantly lower in cluster headache patients. Lithium treatment normalized these levels, suggesting choline deficiency may predispose individuals to cluster headaches.

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    Area of Science:

    • Neurology
    • Biochemistry

    Background:

    • Cluster headache is a debilitating neurological disorder.
    • Erythrocyte choline concentrations have not been extensively studied in relation to cluster headaches.

    Purpose of the Study:

    • To investigate erythrocyte choline concentrations in cluster headache patients.
    • To assess the effect of lithium treatment on these concentrations.

    Main Methods:

    • Erythrocyte choline concentrations were measured in patients with cluster headache and control subjects.
    • Concentrations were measured during and between cluster periods.
    • The effect of two weeks of lithium treatment was evaluated.

    Main Results:

    • Erythrocyte choline concentrations were significantly reduced (58% and 55% of control) in cluster headache patients during and between attacks.

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  • Lithium treatment increased choline concentrations to 78 times the control value.
  • Mean concentration rose from 4.7 mumol/l to 369.2 mumol/l.

    • Conclusions:

    • Depressed erythrocyte choline may be a predisposing factor for cluster headaches.
    • This deficiency, when combined with trigger factors, may precipitate attacks.
    • Lithium treatment shows potential in restoring normal choline levels.