Cluster headache differential diagnosis: Difference between revisions
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*[[Chronic paroxysmal hemicrania]] (CPH) is a condition similar to cluster headache, but CPH responds well to treatment with the [[anti-inflammatory]] drug [[indomethacin]]. With CPH, the attacks are much shorter, often lasting only seconds.<ref>{{eMedicine|NEURO|67}}</ref> | *[[Chronic paroxysmal hemicrania]] (CPH) is a condition similar to cluster headache, but CPH responds well to treatment with the [[anti-inflammatory]] drug [[indomethacin]]. With CPH, the attacks are much shorter, often lasting only seconds.<ref>{{eMedicine|NEURO|67}}</ref> | ||
*Short-lasting unilateral neuralgiform headache attacks '''(SUNCT and SUNA)''' | *Short-lasting unilateral neuralgiform headache attacks '''(SUNCT and SUNA)''' | ||
*Trigeminal neuralgia<ref name="pmid11422087">{{cite journal |vauthors=Goadsby PJ, Matharu MS, Boes CJ |title=SUNCT syndrome or trigeminal neuralgia with lacrimation |journal=Cephalalgia |volume=21 |issue=2 |pages=82–3 |date=March 2001 |pmid=11422087 |doi=10.1046/j.1468-2982.2001.00175.x |url=}}</ref> | *[[Trigeminal neuralgia]]<ref name="pmid11422087">{{cite journal |vauthors=Goadsby PJ, Matharu MS, Boes CJ |title=SUNCT syndrome or trigeminal neuralgia with lacrimation |journal=Cephalalgia |volume=21 |issue=2 |pages=82–3 |date=March 2001 |pmid=11422087 |doi=10.1046/j.1468-2982.2001.00175.x |url=}}</ref> | ||
*Primary stabbing headache | *Primary stabbing [[headache]] | ||
*Headache associated with an underlying intracranial lesion<ref name="pmid17210806">{{cite journal |vauthors=Favier I, van Vliet JA, Roon KI, Witteveen RJ, Verschuuren JJ, Ferrari MD, Haan J |title=Trigeminal autonomic cephalgias due to structural lesions: a review of 31 cases |journal=Arch. Neurol. |volume=64 |issue=1 |pages=25–31 |date=January 2007 |pmid=17210806 |doi=10.1001/archneur.64.1.25 |url=}}</ref> | *Headache associated with an underlying intracranial lesion<ref name="pmid17210806">{{cite journal |vauthors=Favier I, van Vliet JA, Roon KI, Witteveen RJ, Verschuuren JJ, Ferrari MD, Haan J |title=Trigeminal autonomic cephalgias due to structural lesions: a review of 31 cases |journal=Arch. Neurol. |volume=64 |issue=1 |pages=25–31 |date=January 2007 |pmid=17210806 |doi=10.1001/archneur.64.1.25 |url=}}</ref> | ||
**Intracranial large artery [[aneurysms]] | |||
**[[Meningiomas]] | |||
**Brain [[arteriovenous malformations]] | |||
**[[Pituitary]] macroadenomas | |||
**Recurrent [[nasopharyngeal carcinoma]] | |||
**Metallic foreign body in the [[maxillary sinus]] | |||
**[[Aspergilloma]] in [[sphenoid sinus]] | |||
**Benign [[Posterior fossa tumors|posterior fossa]] tumor | |||
**[[Cavernous hemangioma]] | |||
==References== | ==References== | ||
Revision as of 23:46, 10 May 2020
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Saumya Easaw, M.B.B.S.[2]
Differentiating Cluster Headache from other Diseases
Differential of cluster headache usually involves syndromes that manifest as unilateral headache, brief but frequent attacks. Such syndromes include the following:[1]
- Chronic paroxysmal hemicrania (CPH) is a condition similar to cluster headache, but CPH responds well to treatment with the anti-inflammatory drug indomethacin. With CPH, the attacks are much shorter, often lasting only seconds.[2]
- Short-lasting unilateral neuralgiform headache attacks (SUNCT and SUNA)
- Trigeminal neuralgia[3]
- Primary stabbing headache
- Headache associated with an underlying intracranial lesion[4]
- Intracranial large artery aneurysms
- Meningiomas
- Brain arteriovenous malformations
- Pituitary macroadenomas
- Recurrent nasopharyngeal carcinoma
- Metallic foreign body in the maxillary sinus
- Aspergilloma in sphenoid sinus
- Benign posterior fossa tumor
- Cavernous hemangioma
References
- ↑ Goadsby PJ, Lipton RB (January 1997). "A review of paroxysmal hemicranias, SUNCT syndrome and other short-lasting headaches with autonomic feature, including new cases". Brain. 120 ( Pt 1): 193–209. doi:10.1093/brain/120.1.193. PMID 9055807.
- ↑ NEURO/67 at eMedicine
- ↑ Goadsby PJ, Matharu MS, Boes CJ (March 2001). "SUNCT syndrome or trigeminal neuralgia with lacrimation". Cephalalgia. 21 (2): 82–3. doi:10.1046/j.1468-2982.2001.00175.x. PMID 11422087.
- ↑ Favier I, van Vliet JA, Roon KI, Witteveen RJ, Verschuuren JJ, Ferrari MD, Haan J (January 2007). "Trigeminal autonomic cephalgias due to structural lesions: a review of 31 cases". Arch. Neurol. 64 (1): 25–31. doi:10.1001/archneur.64.1.25. PMID 17210806.