Cluster-like signs and symptoms respond to myofascial/craniomandibular treatment: a report of two cases.
Two cases with pain profiles characteristic of cluster-like headache, both within and outside the trigeminal system, are reported. One male patient would typically awaken from sleep with severe unilateral temporal head pain and autonomic signs of ipsilateral lacrimation and nasal congestion. A female patient exhibited severe unilateral boring temporal and suboccipital head pain with associated ipsilateral lacrimation and rhinorrhea. In addition, both patients presented with signs and symptoms of masticatory and/or cervical disorders. These two cases illustrate possible treatment alternatives, as well as possible influences from cervical and masticatory structures in the development of cluster or cluster-like headache.
Vargo
C P
CP
Raleigh Regional Center for Head, Neck and Facial Pain in Beckley, West Virginia, Morgantown, USA.
Hickman
D M
DM
D003027:Cluster Headache / Q000209:etiology* / Q000628:therapy*; D006259:Craniocerebral Trauma / Q000150:complications; D004576:Electromyography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017090:Occlusal Splints; D026741:Physical Therapy Modalities; D013706:Temporomandibular Joint Dysfunction Syndrome / Q000150:complications* / Q000209:etiology; D004561:Transcutaneous Electric Nerve Stimulation