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Cluster headache. The sweating pattern during spontaneous attacks

O Sjaastad, C Saunte, D Russell

    Cephalalgia : an International Journal of Headache
    |December 1, 1981
    PubMed
    Summary
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    Cluster headache attacks cause increased forehead sweating, particularly on the symptomatic side during severe episodes. This physiological response, measured by evaporimeter, is linked to cluster headache but its origin remains unclear.

    Area of Science:

    • Neurology
    • Dermatology
    • Physiology

    Background:

    • Cluster headache is a debilitating neurological disorder characterized by severe unilateral head pain.
    • Autonomic symptoms, such as sweating, often accompany cluster headache attacks, but the precise physiological changes are not fully understood.

    Purpose of the Study:

    • To quantify sweating changes in patients experiencing cluster headache attacks.
    • To investigate the relationship between headache severity and the extent of sweating.

    Main Methods:

    • Sweating was measured using an Evaporimeter, which assesses evaporative water loss (g/m2/h).
    • Measurements were taken on the forehead, eyelids, face, and trunk in 18 patients during 31 cluster headache attacks.
    • Patients served as their own controls, and data from 25 healthy individuals were used for comparison.

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    Main Results:

    • Increased sweating was consistently observed in the medial forehead on the symptomatic side during severe cluster headache attacks.
    • Moderate attacks showed less pronounced sweating increases.
    • No significant sweating increase was detected during the inter-cycle period.

    Conclusions:

    • Sweating, specifically on the forehead, is a significant physiological response during cluster headache attacks, correlating with attack severity.
    • The underlying cause of this increased sweating during cluster headache remains an open question for further research.