Cluster Headache: A Rare Cause of Bradycardia

Jacobson, Lester B.

doi:10.1111/j.1526-4610.1969.hed0804159.x

Cited by 15 publications

(10 citation statements)

References 6 publications

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“…In this study a significant increase in both systolic and diastolic blood pressure was found during spontaneous attacks. Similar increases have been reported during provoked attacks (7), whereas no consistent pattern has been found in the few observations which have previously been made during spontaneous attacks (6,8,9). During induced head pain, the systolic and to a lesser extent the diastolic blood pressure usually increased but not to statistically significant levels when compared to control values both before and following stimulation.…”

Section: Discussionsupporting

confidence: 72%

“…Increased, decreased or unchanged blood pressure have been reported during spontaneous and induced attacks (6)(7)(8)(9). Bradycardia has also been reported during both spontaneous (1,6,8,(10)(11)(12) and induced (7) attacks by several authors. Others, however, consider bradycardia to be rare (13) or report that the heart rate in most patients is increased during attacks (14).…”

Section: Introductionmentioning

confidence: 94%

“…The heart rate and blood pressure changes during spontaneous attacks of cluster headache are of interest since there is evidence to suggest that the autonomic nervous system may be involved in the pathogenesis of this condition (1)(2)(3)(4)(5). Increased, decreased or unchanged blood pressure have been reported during spontaneous and induced attacks (6)(7)(8)(9). Bradycardia has also been reported during both spontaneous (1,6,8,(10)(11)(12) and induced (7) attacks by several authors.…”

Section: Introductionmentioning

confidence: 99%

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Cluster Headache: Heart Rate and Blood Pressure Changes During Spontaneous Attacks

Russell

Lippe

1982

Cephalalgia

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The ECG findings before, during and following 81 spontaneous attacks of cluster headache in 24 patients have been recorded using a Holter cardiography system. No significant change in mean heart rate was found during attacks, when all attacks were considered as a group. Attacks which began when patients were awake differed from those which began during sleep as regards changes in mean heart rate. The mean heart rate decreased during the majority (61%) of attacks which began when patients were awake, whereas it remained unchanged or increased during the majority (67.5%) of attacks which began during sleep. The attacks which began when patients were awake also had higher absolute mean heart rate values before, during and following attacks compared to similar values for those attacks which began during sleep. blood pressure was measured during 11 attacks and showed a significant increase in both systolic and diastolic blood pressure. The heart rate and blood pressure in six patients usually increased during induced head pain.

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Section: Discussionsupporting

confidence: 72%

Section: Introductionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

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Cluster Headache: Heart Rate and Blood Pressure Changes During Spontaneous Attacks

Russell

Lippe

1982

Cephalalgia

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“…As early as 1878, Von Eulenburg described slowing of the HR to 48‐56 BPM during attacks of “hemicrania angioparalytica” thought to be a case of CH. Later, bradycardia and tachycardia were reported in single cases. It was suggested that the bradycardia could partially be caused by activation of an oculo(trigeminal‐)‐cardial reflex mediated through trigeminovagal pathways by which painful stimuli to the eye and surrounding area elicits a decrease in HR .…”

Section: Resultsmentioning

confidence: 96%

A Review of Cardiovascular Autonomic Control in Cluster Headache

Barloese

2015

Headache

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“…While there is still little information on blood pressure changes, especially from studies applying beat-to-beat technique [34], a relative bradycardia during spontaneous attacks is rather well documented in CH [20,[32][33][34][35][38][39][40][41][42]. Russell and Storstein's detailed study indicated that the heart rate on average increases at the attack onset, decreases during the middle part of the attack, only to increase again while the attack is terminating [42].…”

Section: Laboratory Investigationsmentioning

confidence: 99%

Cluster headache and SUNCT: similarities and differences

Kruszewski

Pareja

Caminero³

et al. 2001

J Headache Pain

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IntroductionOur first case of SUNCT was found in 1978 [1], and a total of three cases were later published under the common name "shortlasting, unilateral, neuralgiform headache attacks with conjunctival injection and tearing" in 1989 [2]. Currently, SUNCT is defined by the International Association for the Study of Pain (IASP) as "Repetitive paroxysms of unilateral shortlasting pain, usually 15-120 seconds duration, mainly in the ocular and the periocular areas, of a neuralgiform nature and moderate to severe intensity, usually appearing only during daytime and accompanied by ipsilateral marked conjunctival injection, lacrimation, a low to moderate degree of rhinorrhea, and subclinical forehead sweating", and belongs to the group of neuralgias of the head and face [3]. Furthermore, the pain paroxysms accompanied by autonomic phenomena tend to appear in cluster periods, and there is a clear male preponderance in SUNCT [3]. Thus, SUNCT has even been considered to be in the same group as cluster headache (CH) [4,5]. Abstract SUNCT is probably a distinct syndrome, although it shares some common features with cluster headache (CH): male sex preponderance, clustering of attacks, unilaterality of headache without sideshift, pain of non-pulsating type with its maximum in the periocular area, ipsilateral autonomic phenomena (e.g. conjunctival injection, lacrimation, rhinorrhea, increased forehead sweating), systemic blood pressure increment with heart rate decrement, blood flow velocity decrement in the middle cerebral artery, and hyperventilation. In spite of these similarities, SUNCT syndrome differs clearly from CH as regards a number of clinical variables, such as duration, intensity, frequency, and nocturnal preponderance of attacks. The two syndromes also differ markedly as regards precipitation of attacks, the usual age at onset, and efficacy of various treatment alternatives.Laboratory investigations have disclosed differences as regards presence or absence of Horner-like picture and possibly also the respiratory sinus arrhythmia pattern. All in all, these differences seem sufficiently ponderous to make it likely that SUNCT syndrome and CH differ essentially. SUNCT seems to be a "neuralgiform" headache, but different from trigeminal neuralgia.

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Cluster Headache: A Rare Cause of Bradycardia

Cited by 15 publications

References 6 publications

Cluster Headache: Heart Rate and Blood Pressure Changes During Spontaneous Attacks

Cluster Headache: Heart Rate and Blood Pressure Changes During Spontaneous Attacks

A Review of Cardiovascular Autonomic Control in Cluster Headache

Cluster headache and SUNCT: similarities and differences

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