Histaminic Cephalalgia

Horton, Bayard T.

doi:10.1001/jama.1956.02960410044011

Cited by 23 publications

(19 citation statements)

References 5 publications

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“…However, the decrease of male:female ratio was reported in patient sample studies, and with a decreasing trend over years (126: ratio M:F from 5.9:1 for patients with CH onset before 1960 to 3.1:1 for patients with CH onset from 1990 to 1997; 129: ratio M:F from 6.2:1 for patients with CH onset before 1960 to 2.1:1 for patients with CH onset in the 1990s; 132: ratio M:F from 11:1 for patients with CH onset during 1982-1997 to 3.6:1 from 2001 to 2003), whereas in a recent meta-analysis (133) of population-based studies reporting on the epidemiology of CH up to August 2007, the overall sex ratio was 4.3 (range 1. [3][4][5][6][7][8][9][10][11][12][13][14]. Therefore, the authors did not confirm the finding that the sex ratio has changed over recent decades with an increasing rate of female cluster patients.…”

Section: Male/female Ratiomentioning

confidence: 99%

Cluster-like headache. A comprehensive reappraisal

et al. 2009

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Among the primary headaches, cluster headache (CH) presents very particular features allowing a relatively easy diagnosis based on criteria listed in Chapter 3 of the International Classification of Headache Disorders (ICHD-II). However, as in all primary headaches, possible underlying causal conditions must be excluded to rule out a secondary cluster-like headache (CLH). The observation of some cases with clinical features mimicking primary CH, but of secondary origin, led us to perform an extended review of CLH reports in the literature. We identified 156 CLH cases published from 1975 to 2008. The more frequent pathologies in association with CLH were the vascular ones (38.5%, n = 57), followed by tumours (25.7%, n = 38) and inflammatory infectious diseases (13.5%, n = 20). Eighty were excluded from further analysis, because of inadequate information. The remaining 76 were divided into two groups: those that satisfied the ICHD-II diagnostic criteria for CH, 'fulfilling' group (F), n = 38; and those with a symptomatology in disagreement with one or more ICHD-II criteria, 'not fulfilling' group (NF), n = 38. Among the aims of this study was the possible identification of clinical features leading to the suspicion of a symptomatic origin. In the differential diagnosis with CH, red flags resulted both for F and NF, older age at onset; for NF, abnormal neurological/general examination (73.6%), duration (34.2%), frequency (15.8%) and localization (10.5%) of the attacks. We stress the fact that, on first observation, 50% of CLH presented as F cases, perfectly mimicking CH. Therefore, the importance of accurate, clinical evaluation and of neuroimaging cannot be overestimated.

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Section: Male/female Ratiomentioning

confidence: 99%

Cluster-like headache. A comprehensive reappraisal

et al. 2009

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“…[61][62][63][64][65] The headaches are brief in duration, lasting a few minutes to two hours, and usually occurring from 1 attack every other day to 8 per day. There are two existing forms of cluster headaches, the first is episodic, occurring in "cluster periods" through- out the year separated by cluster-free intervals, and the second is chronic, in which the attacks occur more than once a year without remission.…”

Section: Cluster Headachementioning

confidence: 99%

Neuro-ophthalmologic Manifestations of Primary Headache Disorders

Shareef

Dafer

Jay

2008

Seminars in Ophthalmology

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Headaches are the most common disorders of the central nervous system affecting 46% of the adult population worldwide. Headaches may be lifelong illnesses, often associated with substantial disability for the individual and the population as a whole. The International Classification of Headache Disorders (ICHD-II) codifies headache disorders into fourteen categories, predominantly primary headaches and secondary headache disorders. Primary headache disorders, mainly migraine and trigeminal autonomic cephalgias (TACs), are frequently associated with neuro-ophthalmologic manifestations. Ophthalmologists are often the first physicians to be involved in the deciphering of headache-related visual disturbances. This article reviews two major primary headache disorders, migraine and trigeminal autonomic cephalgias, and discusses their neuro-ophthalmic complications, clinical presentation, and treatment.

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“…As early as 1956, Horton [2] identified it as a distinctive characteristic that may facilitate a diagnosis if understood correctly. Ekbom [3] described the inability of CH patients to stand still during attacks compared with migraine patients, who have a tendency to move as little as possible in order not to exacerbate their pain.…”

Section: A Sense Of Restlessness or Agitation: Clinical Studiesmentioning

confidence: 99%

“…Undoubtedly, the inability to stand still and keep a fixed posture is considered a typical and distinctive feature of CH [2][3][4].…”

Section: Is Restlessness a Sensible And Specificmentioning

confidence: 99%

Behavior during cluster headache

Torelli

Manzoni²

2005

Current Science Inc

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Cluster headache (CH), also known as "suicide headache," is characterized by a distinctive behavior during attacks. In 80% to 90% of cases, patients are restless and constantly moving in a vain attempt to relieve pain. They often perform complex, stereotyped actions. During attacks, CH sufferers do not want to be touched, stroked, or comforted and frequently moan a great deal, cry, or even scream. They sometimes indulge in violent, self-hurting behavior. Restlessness is a highly sensitive and highly specific parameter for CH and has been included among the signs and symptoms accompanying pain of the disorder in the Second Edition of the International Classification of Headache Disorders. A few hypotheses on pathophysiology of restlessness are addressed in this paper.

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Histaminic Cephalalgia

Cited by 23 publications

References 5 publications

Cluster-like headache. A comprehensive reappraisal

Cluster-like headache. A comprehensive reappraisal

Neuro-ophthalmologic Manifestations of Primary Headache Disorders

Behavior during cluster headache

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