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==Cluster Headache==
Jaspinder Kaur MBBS


{{SK}} Ciliary Neuralgia; neuralgic migraine; histamine cephalgia; horton syndrome; chronic cluster headache; episodic cluster headache; atypical cluster headache; vasogenic facial pain
==Education==


===Overview===
*Medical School: Dayanand Medical College & Hospital (DMC&H), Ludhiana, Punjab, India https://www.dmch.edu/


Cluster headache is a rare disorder typically associated with the excruciating, unilateral and periorbital painful episodes lasting for few minutes to hours. It might be accompanied with facial autonomic symptoms, restlessness and migraine like aura symptoms in approximately 23% of patients. It classically occur in '''young men''' 20–40 years of age with the male-to-female ratio of 5:1. <ref>{{cite journal|doi=10.1036/007149913X}}</ref>. A family history of similar headaches is uncommon.
==Current Position==


===Clinical Symptoms===
*Clinical Research Fellow in Emergency Medicine at Barking, Havering and Redbridge University Hospitals NHS Trust, London, UK https://www.bhrhospitals.nhs.uk/
*Associate Editor-in-Chief at WikiDoc Foundation (WikiDoc.org)
*Peer Reviewer: Till date, peer reviewed around 100 medical articles for various national and international journals https://www.webofscience.com/wos/author/record/AFM-3592-2022
*2012-2022: Medical Officer/physician for Indian veterans at ECHS Polyclinic, Kapurthala, India https://echs.gov.in/


*The cardinal feature is '''periodicity'''. Headaches occur '''many times daily''' at '''distinct times''' over several weeks; onset with sleep is especially characteristic.
==Clinical Observerships in the USA==
*Clusters spontaneously remit for months to years before recurring, typically at the same time of year as previous attacks. '''Alcohol''' is a classic trigger.
*Icahn School of Medicine at Mount Sinai Services-Queens Hospital Center, Jamaica, NY, USA in the department of endocrinology
*Cluster headaches do not have auras (vs. migraines). A typical attack is characterized by abrupt-onset, severe '''unilateral periorbital pain''' with associated '''ipsilateral autonomic symptoms''' (tearing of the eye and nares; rarely Horner’s). Headaches typically last 30–120 minutes.<ref>{{cite journal|doi=10.1036/007149913X}}</ref>
*Aventura Hospital and Medical Center, Aventura, Florida, USA in the department of gastroenterology
*University of Miami/ Holy Cross Hospital, Fort Lauderdale, FL, USA in the department of cardiology
*Kendall Regional Medical Center, Miami, FL, USA in the department of cardiology, primary care and coumadin clinic
*East State Tennessee University, Johnson City, TN, USA in the department of cardiology


===Physical Examination===
==Peer-reviewed Publications==
*Kaur Jaspinder, Kumar Dileep, Alfishawy Mostafa, Lopez Ricardo, Sachmechi Issac. Paliperidone Inducing concomitantly Syndrome of Inappropriate Antidiuretic Hormone, Neuroleptic Malignant Syndrome and rhabdomyolysis: A Case Report. Case Report in Critical Care. Volume 2016, Article ID 2587963, 3 pages. PMID: 27721999.
*Kaur Jaspinder, Chavez Luis, Sachmechi Issac, Kim Paul. Teriparatide prevented near atypical femur fracture by reducing cortical thickening in a symptomatic patient with prolong use of oral bisphosphonate. J Endocrinol Metab. 2016; 6(6):183-186. doi: https://doi.org/10.14740/jem382w
*Viki Kumar, Kaur Jaspinder, Pallavi Pothuri, Sahiba Bandagi. Atypical Trigeminal Neuralgia: A rare neurological manifestation of Systemic Lupus Erythematosus. Am J Case Rep. 2017; 18: 42–45. PMID: 28077839.
*Kaur Jaspinder. A Comprehensive Review on Metabolic Syndrome. Cardiology research and review. 2014 Mar; 2014(2014): 1-21. PMID: 24711954
*Kaur Jaspinder, Nourabadi Soheila, Chavez Luis, Sachmechi Issac. A concise review on hypophosphatasia with a case report. International Journal of Medicine. 2016; 4(2): 39-45. DOI: 10.14419/ijm.v4i2.6397
*Kaur Jaspinder. An Overview of Diabetic Neuropathy. Annual Review and Research in Biology. 2013 Oct; 3(4): 994-1012.
*Kaur Jaspinder. Influence of Dietary Habits on Health Risk Factors. Research Journal of Biology. 2014 May; 2(1): 43-48.
*Kaur Jaspinder. Assessment and Screening of the Risk Factors in Metabolic Syndrome. Medical sciences. 2014 Jul; 2(3): 140-152. doi:10.3390/medsci2030140
*Kaur Jaspinder. Use of friedewald equation for dyslipidemia in Metabolic Syndrome. International Journal of Medicine. 2014 May; 2(1): 36-39. DOI: 10.14419/ijm.v2i1.2370
*Kaur Jaspinder. Family history: a vital predictor of cardiovascular health. International Journal of Health. 2014 May; 2(1): 17-21. DOI: 10.14419/ijh.v2i1.2402
*Kaur Jaspinder, Kaur Kawaljit. Does an Antenatal Care make a difference? Human Biology Review. 2013 Apr; 2(2): 120-135.
*Kaur Jaspinder, Kaur Kawaljit. A case report: Unsafe Abortion. International Journal of Medical Science and Public Health. 2013 Jan; 2(1): 156-158. doi: 10.5455/ijmsph.2013.2.156-158
*Kaur Jaspinder, Kaur Kawaljit. Conditions behind fetal distress. Annals of Biological Research. 2012 Oct; 3(10): 4845-4851.
*Kaur Jaspinder, Kaur Kawaljit. Obstetric complications: Primiparity Vs. Multiparity. European Journal of Experimental Biology. 2012 Sep; 2(5): 1462-1468.
*Kaur Jaspinder, Kaur Mandeep. Effects of Sleep Deprivation on the Cardiovascular Health. International Neuropsychiatric Disease Journal. 2014 Jun; 2(6): 244-254. DOI:  https://doi.org/10.9734/INDJ/2014/10848
*Kaur Jaspinder, Singh Sargun, Kaur Kawaljit. Prevalence and Effects of Various Risk Factors Influencing the Blood Pressure Values. Cardiology and Angiology: An International Journal. 2014 Jul; 2(3): 118-133. DOI:  https://doi.org/10.9734/CA/2014/9863
*Kaur Jaspinder, Singh Sargun, Kaur Kawaljit. Sex Related Assessment and Differentiation of Atherogenic Risk Factors. International Blood Research & Reviews. 2014 Sep; 2(5): 247-261. DOI : 10.9734/IBRR/2014/11306
*Kaur Jaspinder, Singh Sargun, Kaur Kawaljit. Determinants of glycemic status and its relationship with cardiovascular risk factors. Journal of Biochemical and Pharmacological Research. 2014 Sep; 2(3): 159-166.
*Kaur Jaspinder, Singh Sargun, Kaur Kawaljit. Current trend of Caesarean Sections and Vaginal Births. Advances in Applied Science Research. 2013 Sep; 4(4): 196-202.
*Kaur Jaspinder, Singh Sargun, Kaur Kawaljit. Prevalence rate of signs and symptoms in pregnancy. Human Biology Review. 2013 Oct; 2(4): 373-388.
*Kaur Jaspinder, Singh Sargun, Kaur Kawaljit. Impact of Age on the prevalence of chronic diseases in Geriatric population. International Research Journal of Biological Sciences. 2014 Sept; 3(9): 79-85.
*Kaur Pushappreet, Kaur Jaspinder. Oronasal Fistula and Complete Edentulism: What to Do? Dentistry Journal. 2014; 2(4):142-154. https://doi.org/10.3390/dj2040142
*Kaur Jaspinder, Kaur Mandeep. Relation of Sedentary Lifestyle with Cardiovascular Parameters in Primary Care Patients. Journal of cardiovascular Disease. 2015; 3(1): 294-300.
*Kaur Jaspinder, Singh Sargun, Kaur Kawaljit. Prevalence and Associated Comorbidities of Body Mass Index Ranges. International Journal of Medicine. 2015; 3(1): 16-21. DOI: 10.14419/ijm.v3i1.4294


*Patients are restless and agitated, often pacing the room (vs. migraine patients).
==Authored Pages==
*Look for tearing, nasal discharge, and/or ptosis (e.g., '''Horner’s''') ipsilateral to the location of eye pain.<ref>{{cite journal|doi=10.1036/007149913X}}</ref>


===Differential Diagnosis===
*[[Decompression sickness|Decompression sickness]]
*[[Choanal atresia|Choanal atresia]]
*[[Frostbite|Frostbite]]
*[[Gingivitis|Gingivitis]]
*[[Flank pain|Flank pain]]
*[[Diabetes in children|Diabetes in children]]
*[[Tooth impaction|Tooth impaction]]
*[[Thrombophilia|Thrombophilia]]


Other headache syndromes, including migraine and '''chronic paroxysmal hemicrania''', which has similar symptoms, but with multiple (20–40) daily attacks lasting 5–10 minutes each and no periodicity (exquisitely sensitive to '''indomethacin''').<ref>{{cite journal|doi=10.1036/007149913X}}</ref>
==Contact==


===Treatment===
*Email: mailtojaspinder@yahoo.in
*'''Prophylactic therapy'''
**It is started once cluster headaches begin but are not used during remissions given that months to years may elapse between clusters. Such medications include '''verapamil''' (first-line prophylactic treatment for cluster headache), '''prednisone''' (a taper of oral steroids is often used at the beginning of a cluster), lithium, valproate, and methysergide. <ref>{{cite journal|doi=10.1036/007149913X}}</ref>


*'''Abortive therapy'''
==Professional Memberships==
**'''O2 inhalation''': Give 5–10 L/min for 10–15 minutes.
*Punjab Medical Council https://punjabmedicalcouncil.com/
**'''Intranasal lidocaine ointment''': Produces a block of the sphenopalatine ganglion and aborts the headache.
*ResearchGate:Jaspinder Kaur https://www.researchgate.net
**'''Triptans''': Also useful for acute attacks.<ref>{{cite journal|doi=10.1036/007149913X}}</ref>
*Web of Science: Jaspinder Kaur https://www.webofscience.com/wos/author/record/AFM-3592-2022

Latest revision as of 21:41, 16 October 2023

Jaspinder Kaur MBBS

Education

  • Medical School: Dayanand Medical College & Hospital (DMC&H), Ludhiana, Punjab, India https://www.dmch.edu/

Current Position

Clinical Observerships in the USA

  • Icahn School of Medicine at Mount Sinai Services-Queens Hospital Center, Jamaica, NY, USA in the department of endocrinology
  • Aventura Hospital and Medical Center, Aventura, Florida, USA in the department of gastroenterology
  • University of Miami/ Holy Cross Hospital, Fort Lauderdale, FL, USA in the department of cardiology
  • Kendall Regional Medical Center, Miami, FL, USA in the department of cardiology, primary care and coumadin clinic
  • East State Tennessee University, Johnson City, TN, USA in the department of cardiology

Peer-reviewed Publications

  • Kaur Jaspinder, Kumar Dileep, Alfishawy Mostafa, Lopez Ricardo, Sachmechi Issac. Paliperidone Inducing concomitantly Syndrome of Inappropriate Antidiuretic Hormone, Neuroleptic Malignant Syndrome and rhabdomyolysis: A Case Report. Case Report in Critical Care. Volume 2016, Article ID 2587963, 3 pages. PMID: 27721999.
  • Kaur Jaspinder, Chavez Luis, Sachmechi Issac, Kim Paul. Teriparatide prevented near atypical femur fracture by reducing cortical thickening in a symptomatic patient with prolong use of oral bisphosphonate. J Endocrinol Metab. 2016; 6(6):183-186. doi: https://doi.org/10.14740/jem382w
  • Viki Kumar, Kaur Jaspinder, Pallavi Pothuri, Sahiba Bandagi. Atypical Trigeminal Neuralgia: A rare neurological manifestation of Systemic Lupus Erythematosus. Am J Case Rep. 2017; 18: 42–45. PMID: 28077839.
  • Kaur Jaspinder. A Comprehensive Review on Metabolic Syndrome. Cardiology research and review. 2014 Mar; 2014(2014): 1-21. PMID: 24711954
  • Kaur Jaspinder, Nourabadi Soheila, Chavez Luis, Sachmechi Issac. A concise review on hypophosphatasia with a case report. International Journal of Medicine. 2016; 4(2): 39-45. DOI: 10.14419/ijm.v4i2.6397
  • Kaur Jaspinder. An Overview of Diabetic Neuropathy. Annual Review and Research in Biology. 2013 Oct; 3(4): 994-1012.
  • Kaur Jaspinder. Influence of Dietary Habits on Health Risk Factors. Research Journal of Biology. 2014 May; 2(1): 43-48.
  • Kaur Jaspinder. Assessment and Screening of the Risk Factors in Metabolic Syndrome. Medical sciences. 2014 Jul; 2(3): 140-152. doi:10.3390/medsci2030140
  • Kaur Jaspinder. Use of friedewald equation for dyslipidemia in Metabolic Syndrome. International Journal of Medicine. 2014 May; 2(1): 36-39. DOI: 10.14419/ijm.v2i1.2370
  • Kaur Jaspinder. Family history: a vital predictor of cardiovascular health. International Journal of Health. 2014 May; 2(1): 17-21. DOI: 10.14419/ijh.v2i1.2402
  • Kaur Jaspinder, Kaur Kawaljit. Does an Antenatal Care make a difference? Human Biology Review. 2013 Apr; 2(2): 120-135.
  • Kaur Jaspinder, Kaur Kawaljit. A case report: Unsafe Abortion. International Journal of Medical Science and Public Health. 2013 Jan; 2(1): 156-158. doi: 10.5455/ijmsph.2013.2.156-158
  • Kaur Jaspinder, Kaur Kawaljit. Conditions behind fetal distress. Annals of Biological Research. 2012 Oct; 3(10): 4845-4851.
  • Kaur Jaspinder, Kaur Kawaljit. Obstetric complications: Primiparity Vs. Multiparity. European Journal of Experimental Biology. 2012 Sep; 2(5): 1462-1468.
  • Kaur Jaspinder, Kaur Mandeep. Effects of Sleep Deprivation on the Cardiovascular Health. International Neuropsychiatric Disease Journal. 2014 Jun; 2(6): 244-254. DOI: https://doi.org/10.9734/INDJ/2014/10848
  • Kaur Jaspinder, Singh Sargun, Kaur Kawaljit. Prevalence and Effects of Various Risk Factors Influencing the Blood Pressure Values. Cardiology and Angiology: An International Journal. 2014 Jul; 2(3): 118-133. DOI: https://doi.org/10.9734/CA/2014/9863
  • Kaur Jaspinder, Singh Sargun, Kaur Kawaljit. Sex Related Assessment and Differentiation of Atherogenic Risk Factors. International Blood Research & Reviews. 2014 Sep; 2(5): 247-261. DOI : 10.9734/IBRR/2014/11306
  • Kaur Jaspinder, Singh Sargun, Kaur Kawaljit. Determinants of glycemic status and its relationship with cardiovascular risk factors. Journal of Biochemical and Pharmacological Research. 2014 Sep; 2(3): 159-166.
  • Kaur Jaspinder, Singh Sargun, Kaur Kawaljit. Current trend of Caesarean Sections and Vaginal Births. Advances in Applied Science Research. 2013 Sep; 4(4): 196-202.
  • Kaur Jaspinder, Singh Sargun, Kaur Kawaljit. Prevalence rate of signs and symptoms in pregnancy. Human Biology Review. 2013 Oct; 2(4): 373-388.
  • Kaur Jaspinder, Singh Sargun, Kaur Kawaljit. Impact of Age on the prevalence of chronic diseases in Geriatric population. International Research Journal of Biological Sciences. 2014 Sept; 3(9): 79-85.
  • Kaur Pushappreet, Kaur Jaspinder. Oronasal Fistula and Complete Edentulism: What to Do? Dentistry Journal. 2014; 2(4):142-154. https://doi.org/10.3390/dj2040142
  • Kaur Jaspinder, Kaur Mandeep. Relation of Sedentary Lifestyle with Cardiovascular Parameters in Primary Care Patients. Journal of cardiovascular Disease. 2015; 3(1): 294-300.
  • Kaur Jaspinder, Singh Sargun, Kaur Kawaljit. Prevalence and Associated Comorbidities of Body Mass Index Ranges. International Journal of Medicine. 2015; 3(1): 16-21. DOI: 10.14419/ijm.v3i1.4294

Authored Pages

Contact

  • Email: mailtojaspinder@yahoo.in

Professional Memberships