Cluster headache

Cluster headache
  • Facts:
    Only HA syndrome that is MC in men
    Occur in clusters, followed by remission
  • History / PE:
    Intense unilateral retro-orbital pain, spreads to hemicranium
    Pain can awaken patients from sleep
    Tearing
    Stuffed, runny nose
    Ipsilateral eye redness,lacrimation
    NOT associated with nausea or vomiting
  • Treatment:
    100% oxygen, subcutaneous sumatriptan (treatment)
    Verapamil, lithium , ergotamine (prophylaxis)
  • Associated With:
    Ipsilateral Horner's syndrome



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July 30th 2010