[Cluster headache and other trigeminal-autonomic headaches].
Cluster headache is a primary headache with a male predominance that presents in two forms: episodic and chronic, occurring at 45-to 60-day intervals with one to three headaches a day lasting 45 min to 2 h. An attack starts by a violent unilateral retro-ocular pain with sympathetic signs such as tearing and rhinorrhea. Diagnosis is made by questioning and therefore requires no complementary tests. Treatment for the attack consists of injectable sumatriptan or oxygen therapy, with long-term treatment with verapamil, lithium salts, or Topiramate; in certain cases in which the number of attacks is greater than two, injections of corticosteroids at the emergence of the Arnold nerve can be used, or in cases of attacks resistant to all treatments, hypothalamus stimulation surgery can be useful.
Centre d'urgence des céphalées, hôpital Lariboisière, 2, rue Ambroise-Paré, 75010 Paris, France. dominique.valade@lrb.aphp.fr
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D003027:Cluster Headache / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology; D018450:Disease Progression; D006801:Humans; D013997:Time Factors; D051303:Trigeminal Autonomic Cephalalgias / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology*