Cluster headache overview
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Saumya Easaw, M.B.B.S.[2]
Overview
Cluster headaches are rare, extremely painful and debilitating headaches that occur in groups or clusters. Often appearing during seasonal changes. They may also be described as suicide headaches, a reference to the excruciating pain and resulting desperation that has culminated in actual suicide.[1]
Historical Perspective
Cluster headaches have been called by several other names in the past including Erythroprosopalgia of Bing, ciliary neuralgia, migrainous neuralgia, erythromelagia of the head, Horton's headache (named after Bayard T. Horton, an American neurologist who was the first to accurately describe the headache in 1939[2]), histaminic cephalalgia, petrosal neuralgia, sphenopalatine neuralgia, Vidian neuralgia, Sluder's neuralgia, and hemicrania angioparalyticia.[3] Sluder's neuralgia (syndrome) and cluster pain can often be temporarily stopped with nasal lidocaine spray. If successful, outpatient nasal septoplasty and splinting can resolve the condition.[4]
Epidemiology and Demographics
While migraines are diagnosed more often in women, cluster headaches are diagnosed more often in men. The male-to-female ratio in cluster headache ranges from 4:1 to 7:1. It primarily occurs between the ages of 20 to 50 years.[5] This gap between the sexes has narrowed over the past few decades, and it is not clear whether cluster headaches are becoming more frequent in women, or whether they are merely being better diagnosed. Limited epidemiological studies have suggested prevalence rates of between 56 and 326 people per 100,000.[6] Latitude plays a role in the occurrence of cluster headaches, which are more common as one moves away from the equator towards the poles. It is believed that greater changes in day length are responsible for the increase.
References
- ↑ Torelli P, Manzoni G (2003). "Pain and behaviour in cluster headache. A prospective study and review of the literature". Funct Neurol. 18 (4): 205–10. PMID 15055745. Unknown parameter
|month=ignored (help) - ↑ http://www.mayoclinicproceedings.com/inside.asp?AID=3032&UID=
- ↑ Stephen D. Silberstein, Richard B. Lipton. Peter J. Goadsgy. "Headache in Clinical Practice." Second edition. Taylor & Francis. 2002.
- ↑ IHS ICHD2: Mucosal contact point headache
- ↑ "Migraine Headache Treatment Clinics, Chicago Migraine Specialists | Diamond Headache Clinic".
- ↑ Torelli P, Castellini P, Cucurachi L, Devetak M, Lambru G, Manzoni G (2006). "Cluster headache prevalence: methodological considerations. A review of the literature". Acta Biomed Ateneo Parmense. 77 (1): 4–9. PMID 16856701.