Cluster Headaches: Difference between revisions
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== Definition/Description == | == Definition/Description == | ||
Cluster headaches are the rarest but the most painful of the primary headaches.<ref name="Goodman">Goodman Catherine C., Fuller Kenda S. Pathology: Implications for the Physical Therapist. 3rd ed. St. Louis: Saunders Elsevier, 2009. p1559-1561</ref> Cluster headaches are the most common of trigeminal autonomic cephalaligias (TACs). Primary headaches are caused by spontaneous activation of nociceptive pathways and also include migraines or tension-type headaches.<ref name="Leroux">Leroux E, Ducros A. Cluster headache. Orphanet Journal of Rare Diseases. 2008; 3:20. doi: 10.1186/1750-1172-3-20. http://ukpmc.ac.uk/articlerender.cgi?tool=pubmed&amp;amp;pubmedid=18651939 (Accessed 2 March 2010).</ref> Cluster headaches are characterized by recurring short lasting attacks (15 to 180 minutes). The attacks typically consist of exruciating unilateral periorbital or temporal pain as well as at least one ipsilateral autonomic symptoms. Accompanying ipsilateral symptoms include conjunctival injection and lacrimation, nasal congestion or rhinorrhea, forehead and facial sweating, facial flushing, eyelid edema, miosis and ptosis.<ref name="Leroux" /><ref name="Silberstein">Silberstein, Stephen D. Cluster Headache. Merck Manual for Healthcare Professionals http://www.merck.com/mmpe/sec16/ch216/ch216b.html?qt=Cluster%20Headaches&amp;amp;alt=sh (Accessed 2 March 2010).</ref><br> | Cluster headaches are the rarest but the most painful of the primary headaches.<ref name="Goodman">Goodman Catherine C., Fuller Kenda S. Pathology: Implications for the Physical Therapist. 3rd ed. St. Louis: Saunders Elsevier, 2009. p1559-1561</ref> Cluster headaches are the most common of trigeminal autonomic cephalaligias (TACs). Primary headaches are caused by spontaneous activation of nociceptive pathways and also include migraines or tension-type headaches.<ref name="Leroux">Leroux E, Ducros A. Cluster headache. Orphanet Journal of Rare Diseases. 2008; 3:20. doi: 10.1186/1750-1172-3-20. http://ukpmc.ac.uk/articlerender.cgi?tool=pubmed&amp;amp;amp;pubmedid=18651939 (Accessed 2 March 2010).</ref> Cluster headaches are characterized by recurring short lasting attacks (15 to 180 minutes). The attacks typically consist of exruciating unilateral periorbital or temporal pain as well as at least one ipsilateral autonomic symptoms. Accompanying ipsilateral symptoms include conjunctival injection and lacrimation, nasal congestion or rhinorrhea, forehead and facial sweating, facial flushing, eyelid edema, miosis and ptosis.<ref name="Leroux" /><ref name="Silberstein">Silberstein, Stephen D. Cluster Headache. Merck Manual for Healthcare Professionals http://www.merck.com/mmpe/sec16/ch216/ch216b.html?qt=Cluster%20Headaches&amp;amp;amp;alt=sh (Accessed 2 March 2010).</ref><br> | ||
There are two types of cluster headaches, episodic and chronic. Episodic is defined by periods of susceptibility to headache known as cluster periods, that alternate with periods of remission.<ref name="Goodman" /> The headache can occur for 1 to 3 months (the cluster period) where patients experience ≥ 1 attack/day, followed by remission for months to years.<ref name="Goodman" /><ref name="Silberstein" /> The headache can then reoccur in the same pattern. Around 80% of of all cases are episodic cluster headaches.<ref name="Goodman" /><ref name="Leroux" />< | There are two types of cluster headaches, episodic and chronic. Episodic is defined by periods of susceptibility to headache known as cluster periods, that alternate with periods of remission.<ref name="Goodman" /> The headache can occur for 1 to 3 months (the cluster period) where patients experience ≥ 1 attack/day, followed by remission for months to years.<ref name="Goodman" /><ref name="Silberstein" /> The headache can then reoccur in the same pattern. Around 80% of of all cases are episodic cluster headaches.<ref name="Goodman" /><ref name="Leroux" /> Around 20% of all cases are chronic cluster headaches. Chronic is defined by the cluster periods occuring for one year or more, without more than one month of remission or the remission lasts less than 14 days.<ref name="Leroux" /><ref name="Goodman" /> Chronic cluster headaches are preceded by episodic cluster headaches and develop overtime.<ref name="Goodman" /> | ||
== Prevalence == | == Prevalence == | ||
Revision as of 04:54, 8 March 2010
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Definition/Description[edit | edit source]
Cluster headaches are the rarest but the most painful of the primary headaches.[1] Cluster headaches are the most common of trigeminal autonomic cephalaligias (TACs). Primary headaches are caused by spontaneous activation of nociceptive pathways and also include migraines or tension-type headaches.[2] Cluster headaches are characterized by recurring short lasting attacks (15 to 180 minutes). The attacks typically consist of exruciating unilateral periorbital or temporal pain as well as at least one ipsilateral autonomic symptoms. Accompanying ipsilateral symptoms include conjunctival injection and lacrimation, nasal congestion or rhinorrhea, forehead and facial sweating, facial flushing, eyelid edema, miosis and ptosis.[2][3]
There are two types of cluster headaches, episodic and chronic. Episodic is defined by periods of susceptibility to headache known as cluster periods, that alternate with periods of remission.[1] The headache can occur for 1 to 3 months (the cluster period) where patients experience ≥ 1 attack/day, followed by remission for months to years.[1][3] The headache can then reoccur in the same pattern. Around 80% of of all cases are episodic cluster headaches.[1][2] Around 20% of all cases are chronic cluster headaches. Chronic is defined by the cluster periods occuring for one year or more, without more than one month of remission or the remission lasts less than 14 days.[2][1] Chronic cluster headaches are preceded by episodic cluster headaches and develop overtime.[1]
Prevalence[edit | edit source]
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- ↑ 1.0 1.1 1.2 1.3 1.4 1.5 Goodman Catherine C., Fuller Kenda S. Pathology: Implications for the Physical Therapist. 3rd ed. St. Louis: Saunders Elsevier, 2009. p1559-1561
- ↑ 2.0 2.1 2.2 2.3 Leroux E, Ducros A. Cluster headache. Orphanet Journal of Rare Diseases. 2008; 3:20. doi: 10.1186/1750-1172-3-20. http://ukpmc.ac.uk/articlerender.cgi?tool=pubmed&amp;amp;pubmedid=18651939 (Accessed 2 March 2010).
- ↑ 3.0 3.1 Silberstein, Stephen D. Cluster Headache. Merck Manual for Healthcare Professionals http://www.merck.com/mmpe/sec16/ch216/ch216b.html?qt=Cluster%20Headaches&amp;amp;alt=sh (Accessed 2 March 2010).
