Cluster headache history and symptoms: Difference between revisions
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{{CMG}} {{AE}} {{SAI}} {{SME}} | {{CMG}} {{AE}} {{SAI}} {{SME}} | ||
== Overview == | ==Overview== | ||
Cluster headache sufferers typically experience very severe headaches of a piercing quality near one [[eye]] or [[temple]] that last for fifteen minutes to three hours with some lasting days (rarely more than three days). The headaches are typically [[wiktionary:unilateral|unilateral]] and rarely change sides during the same cycle (see episodic). Cluster headaches have a characteristic circadian periodicity and usually present with autonomic symptoms. | Cluster headache sufferers typically experience very severe headaches of a piercing quality near one [[eye]] or [[temple]] that last for fifteen minutes to three hours with some lasting days (rarely more than three days). The headaches are typically [[wiktionary:unilateral|unilateral]] and rarely change sides during the same cycle (see episodic). Cluster headaches have a characteristic circadian periodicity and usually present with autonomic symptoms. | ||
== History and symptoms == | ==History and symptoms== | ||
Symptoms of [[cluster headache]] may include: | |||
=== | *Piercing eye pain.<ref>{{cite web | author=Charlotte E. Grayson and The Cleveland Clinic Neuroscience Center | title=Cluster Headaches |url=http://www.webmd.com/content/article/46/1826_50688.htm | date=October 2004 | publisher=WebMD | accessdate=2006-09-22}}</ref><ref>{{cite web |author=Brian D. Loftus | title=Cluster Headache and Chronic Paroxysmal Hemicrania Overview | url=http://www.loftusmd.com/Articles/Cluster/clusteroverview.html | date=2005 |accessdate=2006-09-22}}</ref> A hot poker inserted in the eye, although gruesome, may well be the best description.<ref>Goldstein, Michael. "Cluster Headache". New Atlantean Press. 1999.</ref><ref>{{cite web | author=Arne May, Anish Bahra, Christian Büchel, Richard S J Frackowiak, Peter J Goadsby; University Department of Clinical Neurology (May, Bahra, Goadsby), and Wellcome Department of Cognitive Neurology (Büchel, Frackowiak), Institute of Neurology, National Hospital for Neurology and Neurosurgery, Queen Square, London UK | title=Hypothalamic activation in cluster headache attacks |url=http://www.ouch-us.org/chgeneral/hypothalamus/hypothalamus2.htm | date=1998 July 25;352(9124):275-8 | publisher=The Lancet }}</ref>:<ref name="pmid7888747">{{cite journal |vauthors=Drummond PD |title=Sweating and vascular responses in the face: normal regulation and dysfunction in migraine, cluster headache and harlequin syndrome |journal=Clin. Auton. Res. |volume=4 |issue=5 |pages=273–85 |date=October 1994 |pmid=7888747 |doi=10.1007/BF01827433 |url=}}</ref><ref name="pmid16686902">{{cite journal |vauthors=Drummond PD |title=Mechanisms of autonomic disturbance in the face during and between attacks of cluster headache |journal=Cephalalgia |volume=26 |issue=6 |pages=633–41 |date=June 2006 |pmid=16686902 |doi=10.1111/j.1468-2982.2006.01106.x |url=}}</ref><ref name="pmid2245469">{{cite journal |vauthors=Ekbom K |title=Evaluation of clinical criteria for cluster headache with special reference to the classification of the International Headache Society |journal=Cephalalgia |volume=10 |issue=4 |pages=195–7 |date=August 1990 |pmid=2245469 |doi=10.1046/j.1468-2982.1990.1004195.x |url=}}</ref> | ||
* | *[[Horner's syndrome]]:<ref>{{cite web | author=Graff JM, Lee AG | title=Horner's Syndrome (due to Cluster Headache): 46 y.o. man presenting with headache and ptosis. | url=http://webeye.ophth.uiowa.edu/eyeforum/cases/case22.htm | work=Ophthalmology Grand Rounds | date=February 21, 2005 |publisher=The University of Iowa | accessdate=2006-09-22}}</ref> [[Ptosis (eyelid)|ptosis]] (drooping eyelids), conjunctival injection (which results in red, watery eyes), [[lacrimation]] (tearing), [[miosis]] (constricted pupil), eyelid [[edema]], [[nasal congestion]], [[rhinorrhea]] (runny nose), and [[sweating]] on the affected side of the face. | ||
*The neck is often stiff or tender in association with cluster headaches afterwards, and jaw and teeth pain are sometimes reported. | |||
*[[Photophobia]] (sensitivity to light) is more typical of a [[migraine]], as is vomiting, but both can be present in some sufferers of cluster headache, although rare. | |||
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==References== | ==References== | ||
Revision as of 08:02, 30 August 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sabeeh Islam, MBBS[2] Saumya Easaw, M.B.B.S.[3]
Overview
Cluster headache sufferers typically experience very severe headaches of a piercing quality near one eye or temple that last for fifteen minutes to three hours with some lasting days (rarely more than three days). The headaches are typically unilateral and rarely change sides during the same cycle (see episodic). Cluster headaches have a characteristic circadian periodicity and usually present with autonomic symptoms.
History and symptoms
Symptoms of cluster headache may include:
- Piercing eye pain.[1][2] A hot poker inserted in the eye, although gruesome, may well be the best description.[3][4]:[5][6][7]
- Horner's syndrome:[8] ptosis (drooping eyelids), conjunctival injection (which results in red, watery eyes), lacrimation (tearing), miosis (constricted pupil), eyelid edema, nasal congestion, rhinorrhea (runny nose), and sweating on the affected side of the face.
- The neck is often stiff or tender in association with cluster headaches afterwards, and jaw and teeth pain are sometimes reported.
- Photophobia (sensitivity to light) is more typical of a migraine, as is vomiting, but both can be present in some sufferers of cluster headache, although rare.
References
- ↑ Charlotte E. Grayson and The Cleveland Clinic Neuroscience Center (October 2004). "Cluster Headaches". WebMD. Retrieved 2006-09-22.
- ↑ Brian D. Loftus (2005). "Cluster Headache and Chronic Paroxysmal Hemicrania Overview". Retrieved 2006-09-22.
- ↑ Goldstein, Michael. "Cluster Headache". New Atlantean Press. 1999.
- ↑ Arne May, Anish Bahra, Christian Büchel, Richard S J Frackowiak, Peter J Goadsby; University Department of Clinical Neurology (May, Bahra, Goadsby), and Wellcome Department of Cognitive Neurology (Büchel, Frackowiak), Institute of Neurology, National Hospital for Neurology and Neurosurgery, Queen Square, London UK (1998 July 25;352(9124):275-8). "Hypothalamic activation in cluster headache attacks". The Lancet. Check date values in:
|date=(help) - ↑ Drummond PD (October 1994). "Sweating and vascular responses in the face: normal regulation and dysfunction in migraine, cluster headache and harlequin syndrome". Clin. Auton. Res. 4 (5): 273–85. doi:10.1007/BF01827433. PMID 7888747.
- ↑ Drummond PD (June 2006). "Mechanisms of autonomic disturbance in the face during and between attacks of cluster headache". Cephalalgia. 26 (6): 633–41. doi:10.1111/j.1468-2982.2006.01106.x. PMID 16686902.
- ↑ Ekbom K (August 1990). "Evaluation of clinical criteria for cluster headache with special reference to the classification of the International Headache Society". Cephalalgia. 10 (4): 195–7. doi:10.1046/j.1468-2982.1990.1004195.x. PMID 2245469.
- ↑ Graff JM, Lee AG (February 21, 2005). "Horner's Syndrome (due to Cluster Headache): 46 y.o. man presenting with headache and ptosis". Ophthalmology Grand Rounds. The University of Iowa. Retrieved 2006-09-22.