title: Cluster headache treatment dilemmas: the experts respond.
abstract: When conventional treatment approaches to cluster headache are unsuccessful, expert recommendations are relevant but may not be easily accessible to treating clinicians. We conducted a study of expert recommendations in response to standardized vignettes. Ten expert headache clinicians were asked what treatment they would recommend for a hypothetical 55-year-old male cluster headache patient in the following five situations: 1) known coronary artery disease with response only to sumatriptan; 2) strictly unilateral headaches unresponsive to preventive treatment; 3) effective abortive treatment not covered by insurance; 4) patient request to obtain methysergide from Canada; and 5) headaches responsive only to steroid treatment.
authors: 1153 Centre Street, Boston, MA 02130, USA. eloder@partners.org
authors: Elizabeth
authors: E
authors: Loder
authors: Paul
authors: P
authors: Rizzoli
authors: Brian
authors: B
authors: McGeeney
authors: Thomas
authors: T
authors: Ward
authors: Morris
authors: M
authors: Levin
authors: Robert E
authors: RE
authors: Shapiro
authors: Stewart
authors: S
authors: Tepper
authors: Larry
authors: L
authors: Newman
authors: Fred
authors: F
authors: Sheftell
authors: Alan
authors: A
authors: Rapoport
authors: Herbert
authors: H
authors: Markley
mesh_terms: D000700:Analgesics / Q000627:therapeutic use; D003027:Cluster Headache / Q000628:therapy*; D004599:Electric Stimulation Therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D019635:Neurosurgical Procedures; D010102:Oxygen Inhalation Therapy; D010818:Practice Patterns, Physicians'; D019233:Retreatment; D017211:Treatment Failure
chemical_list: D000700:Analgesics