Behavior during cluster headache.
Cluster headache (CH), also known as "suicide headache," is characterized by a distinctive behavior during attacks. In 80% to 90% of cases, patients are restless and constantly moving in a vain attempt to relieve pain. They often perform complex, stereotyped actions. During attacks, CH sufferers do not want to be touched, stroked, or comforted and frequently moan a great deal, cry, or even scream. They sometimes indulge in violent, self-hurting behavior. Restlessness is a highly sensitive and highly specific parameter for CH and has been included among the signs and symptoms accompanying pain of the disorder in the Second Edition of the International Classification of Headache Disorders. A few hypotheses on pathophysiology of restlessness are addressed in this paper.
Torelli
Paola
P
Headache Center, Section of Neurology, Department of Neuroscience, University of Parma, Via Gramsci, 14, 43100 Parma, Italy. paolatorelli@libero.it
Manzoni
Gian Camillo
GC
D003027:Cluster Headache / Q000503:physiopathology / Q000517:prevention & control / Q000523:psychology*; D006801:Humans; D009043:Motor Activity / Q000502:physiology; D011595:Psychomotor Agitation / Q000209:etiology / Q000503:physiopathology; D016728:Self-Injurious Behavior / Q000209:etiology / Q000503:physiopathology
Semin Neurol. 1997;17(4):313-23
9474711
Cephalalgia. 1983 Mar;3(1):21-30
6850818
Sleep Res Online. 2000;3(3):107-12
11382908
Otolaryngol Clin North Am. 1989 Dec;22(6):1131-44
2513546
Headache. 1972 Jan;11(4):175-85
5007729
Neurology. 1958 Sep;8(9):653-63
13578060
Cephalalgia. 1991 Dec;11(6):263-8
1790571
Cephalalgia. 2004 Aug;24(8):631-8
15265051
Headache. 2005 Jun;45(6):644-52
15953296
Headache. 1975 Jan;14(4):219-25
1123305
J Lancet. 1952 Feb;72(2):92-8
14908316
Headache. 1979 Mar;19(2):58-62
422349
N Engl J Med. 2001 Nov 8;345(19):1428-9
11794190
Neurology. 2002 Nov 12;59(9):1425-7
12427896
Lancet. 1993 Sep 18;342(8873):723-5
8103827
Funct Neurol. 2003 Oct-Dec;18(4):205-10
15055745
Cephalalgia. 2001 Mar;21(2):145-50
11422098
Acta Neurol Scand. 1986 Apr;73(4):403-7
3727916
Nat Med. 1999 Jul;5(7):836-8
10395332
Proc Staff Meet Mayo Clin. 1956 May 30;31(11):325-33
13323056
Headache. 1992 Mar;32(3):119-25
1563942
Cephalalgia. 1981 Dec;1(4):209-16
7347624
Headache. 1979 Apr;19(3):142-50
457402
Curr Pain Headache Rep. 2002 Feb;6(1):76-82
11749882
J Neurol Neurosurg Psychiatry. 2003 Aug;74(8):1123-5
12876249
Cephalalgia. 2001 Sep;21(7):718-26
11594999
Curr Pain Headache Rep. 2004 Apr;8(2):147-56
14980150
J Am Med Assoc. 1956 Feb 11;160(6):468-9
13286083
Acta Neurochir Suppl (Wien). 1988;44:145-51
3066130
Neurology. 1999 Jul 22;53(2):357-63
10430426
Neurology. 2002 Feb 12;58(3):354-61
11839832
Funct Neurol. 2000 Oct-Dec;15(4):215-23
11213525
J Neurol Sci. 1971 Aug;13(4):401-14
5570761
Appl Neurophysiol. 1978;41(1-4):223-31
365099
Pain. 1998 Jan;74(1):61-6
9514561
Lancet. 1998 Jul 25;352(9124):275-8
9690407
Neuroimmunomodulation. 2004;11(2):103-12
14758056
Cephalalgia. 1988;8 Suppl 7:1-96
3048700
Acta Neurol Scand. 1970;:Suppl 41:1+
4988867
Cephalalgia. 1988 Mar;8(1):37-44
3359483
Headache. 1974 Jan;13(4):197-202
4810475
Cephalalgia. 1988 Jun;8(2):121-6
3401914