Migraine in Patients With Cluster Headache

Andersson, Poul Gertz

doi:10.1046/j.1468-2982.1985.0501011.x

Cited by 33 publications

(19 citation statements)

References 20 publications

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“…4,13,21,[30][31][32] One of the largest series, which addresses the M:F ratio by decade of onset, shows a gradual reduction of the ratio with time. Male-to-female ratio.…”

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confidence: 99%

Cluster headache

Bahra¹,

May²,

Goadsby³

2002

Neurology

502

553

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Background: Cluster headache, when compared with migraine or tension-type headache, is an uncommon form of primary neurovascular headache. However, with a prevalence of approximately 0.1% and a lengthy history of disabling and distressing episodic pain, cluster headache is an important neurologic problem. Methods: Patients (n ϭ 230) were recruited from our specialist clinic (24%) or from support groups (76%). All patients had a detailed history taken by at least two physicians and were assigned diagnoses according to the International Headache Society Diagnostic Guidelines. Results: The pain characteristics were of a strictly unilateral, predominantly retro-orbital (92%) and temporal pain (70%). Of the cranial autonomic features, lacrimation (91%) was the most common. Nausea (50%), photophobia (56%), and phonophobia (43%) often were noted, as was a sense of agitation or restlessness in 93% of patients. Typical migrainous aura was noted in 14% of this cohort. Most patients (79%) had episodic cluster headache, which was largely the same clinically as chronic cluster headache except for the persistence of attacks over time. The overall male-to-female ratio in this sample was 2.5:1, and this has decreased with time. Neither oral contraceptive use, menses, menopause, nor hormone replacement therapy had any consistent effect on cluster headache in women. Less than half of the patients had tried injectable sumatriptan, and many had not tried high-flow oxygen. Several unproven preventative agents that usually are used in migraine and an array of alternative therapies had been used; none of the latter was consistently effective. Conclusion: Patients with cluster headache offer a population of primary headache patients with devastating acute attacks of pain. The syndrome is stereotyped with effective evidence-based treatments that are prescribed in only half of patients having cluster headache.

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“…4,13,21,[30][31][32] One of the largest series, which addresses the M:F ratio by decade of onset, shows a gradual reduction of the ratio with time. Male-to-female ratio.…”

mentioning

confidence: 99%

Cluster headache

Bahra¹,

May²,

Goadsby³

2002

Neurology

502

553

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“…The only common pathogenic mechanism in both headaches is the trigeminovascular activation, shared by a large number of headaches [6]. Several authors have discussed the coexistence of CH and migraine in the same patient [2,4,7,8]. This association is not frequent.…”

Section: Discussionmentioning

confidence: 99%

“…This association is not frequent. According to Anderson [7], 15% of patients with CH had a previous history of migraine, but the persistence of the migraine, once the cluster appeared, was as low as 1.5%. The coexistence of both types of headaches in the same patient seems to happen by chance, since it is rare, and, once the cluster begins, the migraine usually disappears.…”

Section: Discussionmentioning

confidence: 99%

Cluster headache with aura

et al. 2002

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“…Until fairly recently, the disease was considered to be sporadic. However, a family history of cluster headache is reported in 2%-7% of patients [2][3][4][5][6][7][8][9][10][11][12][13][14][15]. Furthermore, the condition was described in both members of five pairs of monozygotic twins [16][17][18] and in three generations of a single family [19][20][21].…”

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confidence: 99%

A study of Italian families with cluster headache

Leone¹,

Russell

Rigamonti³

et al. 2000

J Headache Pain

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IntroductionCluster headache is an uncommon, highly debilitating primary headache, characterized by brief, severe, unilateral headaches, accompanied by homolateral eye reddening, lacrimation, rhinorrhea, ptosis, etc. [1]. These attacks occur in cluster periods lasting weeks or months. The etiology and pathogenesis of this headache have not been clearly established. Until fairly recently, the disease was considered to be sporadic. However, a family history of cluster headache is reported in 2%-7% of patients [2][3][4][5][6][7][8][9][10][11][12][13][14][15]. Furthermore, the condition was described in both members of five pairs of monozygotic twins [16][17][18] and in three generations of a single family [19][20][21]. A Danish study [15] on cluster headache patients attending neurological clinics in Arhus, east-central Jutland, and Copenhaghen County, found that 7% (25 of 366) of patients had a family history of cluster headache, with 25 first-degree relatives and six second-degree relatives affected. The relative risk for the illness was 14-and 2-times greater, respectively, in first-and second-degree relatives of patients with cluster headache than in the general population. These findings constitute strong prima facie evidence that cluster headache has a heritable component in at least a fraction of patients. We designed a study to uncover evidence that genetic factors play a role in the genesis of cluster headache in an Italian population of cluster headache patients. To this aim, we assessed the relative risk of cluster headache in first-and second-degree relatives of cluster headache patients attending our headache center in Milan. Materials and methodsWe studied 191 patients (118 males, 73 females, average age 45.9 years) attending the Headache Center of the C. Besta National Neurological Institute, Milan. All patients (probands) were of J Headache Pain (2000) 1:S165-S167 © Springer-Verlag 2000 A study of Italian families with cluster headache

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Migraine in Patients With Cluster Headache

Cited by 33 publications

References 20 publications

Cluster headache

Cluster headache

Cluster headache with aura

A study of Italian families with cluster headache

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