Migrainous neuralgia or cluster headache?

Lance, James W.; Anthony, Michael

doi:10.1016/0022-510x(71)90003-7

Cited by 131 publications

(97 citation statements)

References 25 publications

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“…Compressing the superficial temporal artery ipsilateral to the headache determined produced an improvement of symptoms in the temporal region in 44.4% of the cases (8/ 18), compared with a worsening of pain in the ocular region; compressing the carotid artery ipsilateral to the headache led to an improvement of symptoms in 50% of the cases (10/20), but some patients reported a worsening of pain in the temporal region; head bandaging relieved pain in 71.4% of the cases (5/7), although only in the frontotemporal region, not in the ocular region; rotating the head did not induce any changes in 58.6% (17/29) of the patients; and performing the Valsalva maneuver left the symptoms unchanged in 63.6% (17/22) of the patients, but actually worsened them in 27.3% (6/22) [38]. Contrary to what was reported by Ekbom [38], Lance and Anthony [39] claimed that in a sample of 60 CH patients, only four (6.7%) had their symptoms improved by compression of the superficial temporal artery, two (3.3%) by the application of heat, and two (3.3%) by walking.…”

Section: Actions Aimed At Reducing Pain Intensitycontrasting

confidence: 80%

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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Section: Actions Aimed At Reducing Pain Intensitycontrasting

confidence: 80%

Behavior during cluster headache

Torelli

Manzoni²

2005

Current Science Inc

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“…With regards to the onset of headache in childhood, Lance and Anthony [14] reported one patient that had isolated episodes of retro-orbital pain and lacrimation at the age of 8 years which recurred twice each year until typical bouts occurred in his second decade.…”

Section: Discussionmentioning

confidence: 99%

Cluster headache in childhood and adolescence: one-year prevalence in an out-patient population

Gallai¹,

Mazzotta²,

Floridi³

et al. 2003

J Headache Pain

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A multicenter one-year study was carried out on 6629 headache patients under 18 years of age, attending 27 centers and clinics devoted to headache in Italy to identify the prevalence of cluster headache (CH) in childhood and adolescence. Two male CH patients aged 9 and 17 years were identified. Their attacks fulfilled the IHS criteria for CH, and they were classified as having cluster headache with undetermined periodicity and episodic cluster headache, respectively. The one-year prevalence in this headache out-patient population under 18 years of age was calculated to be 0.03%. This value is smaller than that derived in the general population. This finding further confirms the rarity of early diagnosis of this primary disorder in childhood and adolescence, as demonstrated in other studies.

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“…Sometimes the symptoms are visual manifestations such as scotomatas, twinkling lights or achromatopsia (Table 4) [2-4, [14][15][16]. Other series reported sensory aura, such as itching, pain or clumsiness [2,4,15,17].…”

Section: Discussionmentioning

confidence: 99%