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Related Experiment Videos

Extratrigeminal cluster headache

L C Sanin1, N T Mathew, S Ali

  • 1Houston Headache Clinic, TX 77004.

Headache
|July 1, 1993
PubMed
Summary
This summary is machine-generated.

Episodic cluster headaches can manifest outside the typical trigeminal nerve areas, affecting the head and neck. These cases suggest a broader spectrum of cluster headache presentations and involve complex pain pathways.

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Area of Science:

  • Neurology
  • Pain Medicine

Background:

  • Cluster headache is a primary headache disorder characterized by severe unilateral pain.
  • The typical presentation involves the trigeminal nerve distribution.

Observation:

  • Three cases of episodic cluster headache are presented with pain outside the trigeminal territory.
  • Two female patients experienced nausea and vomiting; the male patient had ocular autonomic symptoms.
  • Alcohol triggered headaches in one patient.

Findings:

  • All patients responded to standard anti-cluster headache treatments.
  • These cases expand the recognized clinical spectrum of cluster headache.
  • The findings challenge the cavernous sinus lesion theory.

Implications:

Related Experiment Videos

  • Suggests involvement of a complex pain circuitry including upper cervical nerves, posterior fossa, trigeminal system, and autonomic pathways.
  • Highlights the need for broader diagnostic considerations in cluster headache presentations.