title: Cluster headache attacks in a woman previously struck by lightning: pathophysiology of the latent period.
abstract: BACKGROUND
  Cases of patients who developed cluster headache-like symptoms after different putative causes have been reported, indicating a direct relationship between brain lesion and this particular type of headache. Long term, delayed, neurological sequelae after lightning have also been described.
  
  
  METHODS
  We describe the case of a woman who, at the age of 10, was struck by lightning. Six years later she developed cluster headache-like attacks.
  
  
  CONCLUSIONS
  We hypothesize that a relationship between the lightning and the cluster headache-like episodes observed in our patient. This case study may have helped throw some light into the still unknown pathophysiology of this particular type of primary headache.
authors.affiliation: Division of Neurology and Neurosurgery, Department of Neuropsychiatry, CCS, University of Pernambuco, Recife, PE, Brazil.
authors.forename: Marcelo Moraes
authors.initials: MM
authors.lastname: Valença
authors.forename: Wilson Farias da
authors.initials: WF
authors.lastname: Silva
authors.forename: Luciana Patrízia A
authors.initials: LP
authors.lastname: Andrade-Valença
authors.forename: Carlos A
authors.initials: CA
authors.lastname: Bordini
authors.forename: José Geraldo
authors.initials: JG
authors.lastname: Speciali
mesh_terms: D000293:Adolescent; D002648:Child; D003027:Cluster Headache / Q000209:etiology* / Q000503:physiopathology; D005260:Female; D006801:Humans; D015168:Lightning Injuries / Q000150:complications* / Q000503:physiopathology