2009
DOI: 10.1111/j.1526-4610.2008.01289.x
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Cluster Headache During Pregnancy: Case Report and Literature Review

Abstract: A 32‐year‐old pregnant woman presented with cluster headache (CH) during the third trimester of a normal pregnancy. Pure oxygen mask inhalation was ineffective, and intranasal lidocaine applications were realized associated with oral methylprednisolone, given at 1 mg per kg once daily. These treatments rendered the pain tolerable and the pregnancy went to its term with no consequence on the baby. This case of CH attack during pregnancy raises the issues of the influence of sexual hormonal changes in women with… Show more

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Cited by 14 publications
(11 citation statements)
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References 14 publications
(18 reference statements)
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“…Pregnant women suffering from CH [400, 401] should be informed on the treatment benefits and risks and on the drug potential teratogenic effect. Dosage and number of administrations should be reduced to the minimum.…”
Section: Headache Management In Pregnancy and Lactationmentioning
confidence: 99%
See 2 more Smart Citations
“…Pregnant women suffering from CH [400, 401] should be informed on the treatment benefits and risks and on the drug potential teratogenic effect. Dosage and number of administrations should be reduced to the minimum.…”
Section: Headache Management In Pregnancy and Lactationmentioning
confidence: 99%
“…First-choice drugs for prophylaxis are beta-blockers, particularly atenolol, metoprolol and bisoprolol because of their good tolerability profile [401]. Their contraindications are chronic obstructive pulmonary disease, bradycardia or ventricular hyperkinetic arrhythmias and depression.…”
Section: Migrainementioning
confidence: 99%
See 1 more Smart Citation
“…But we now know with increasing evidence that cluster headache clearly affects women. With this, cases of cluster headache being active during pregnancy and lactation have been reported, which pose therapeutic dilemmas given contraindications to triptans during pregnancy for example [7]. However, oxygen appears to be safe during pregnancy and lactation, and is a favorable option for these individuals [8].…”
Section: Commentsmentioning
confidence: 94%
“…However, due to the important impact of CH on life quality, clinicians are often compelled to suggest an off‐label treatment. In this condition, data available in the literature on fetal toxicity and pharmacology suggested some recommendations …”
mentioning
confidence: 99%