Cluster headache

Revision as of 15:58, 24 January 2015 by Rossdonaldson1 (talk | contribs) (Rossdonaldson1 moved page Cluster Headache to Cluster headache)

Definition

  • At least 5 attacks of HA fulfilling the following criteria:
    • 1. Severe unilateral orbital, supraorbital, or temporal pain lasting 15–180 min if untreated
    • 2. HA is accompanied by at least one of the following:
      • a. Ipsilateral conjunctival injection and/or lacrimation
      • b. Ipsilateral nasal congestion and/or rhinorrhea
      • c. Ipsilateral eyelid edema
      • d. Ipsilateral forehead and facial sweating
      • e. Ipsilateral miosis and/or ptosis
      • f. A sense of restlessness or agitation
    • 3. Attacks have a frequency from one every other day to eight per day
    • 4. Not attributed to another disorder

Diagnosis

Work-Up

Differential Diagnosis

Headache

Common

Killers

Maimers

Others

Aseptic Meningitis

Treatment

  • High-flow O2 (effective in 70% of pts)
  • DHE
  • Sumatriptan

Disposition

See Also

Source

  • Tintinalli
  • International Headache Society Diagnostic Criteria