The Use of Histamine in the Treatment of Specific Types of Headache

Horton, Bayard T.

doi:10.1097/00005053-194201000-00039

Cited by 11 publications

(14 citation statements)

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“…This is supported by previous observations, 31,35 although occasional reports of exacerbation with menstruation have been documented. Unlike migraine 33,34 there does not seem to be a strong relationship between women's hormones and cluster headache.…”

supporting

confidence: 91%

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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supporting

confidence: 91%

Cluster headache

Bahra¹,

May²,

Goadsby³

2002

Neurology

502

553

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“…Earlier reports suggested that nausea and vomiting never accompanies cluster headache [10], but subsequent series have found nausea to be present in half of patients with cluster headache, although vomiting remains less common (Table 2).…”

Section: Nausea and Vomitingmentioning

confidence: 96%

“…Individual attacks tend to occur at the same hour. This pattern is usually maintained for several days or weeks at a time [6,[9][10][11], and a nocturnal preponderance for the attacks has been consistently observed [4][5][6]9,12,13]. Most patients experience attacks occurring in bouts lasting between 1 to 3 months, during which cluster headache paroxysms can occur daily.…”

Section: Duration and Periodicitymentioning

confidence: 99%

Migrainous features in cluster headache

Peatfield

2001

Current Science Inc

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Migraine and cluster headache have been considered entirely separate clinical syndromes, both in routine clinical practice and in the 1988 International Headache Society classification. Neurologists seeing large numbers of patients soon realize, however, that there is a considerable overlap between the two conditions. Some patients have attacks with the cardinal features of cluster headache, but also have a few symptoms (especially a visual aura) usually attributed to migraine. In addition, it is not uncommon for a patient with a lifetime's history of migraine to experience a typical bout of cluster headache, although the reverse is less common. This article reviews the published series of such patients.

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“…Sluder's sphenopalatine neural gia is usually preceded by ethmoidal or sphenoidal sinusitis, affects females more frequently than males and, while the pain is again recurrent within a period of 4 weeks in a similar manner to cluster headache, there may be [Harris, 1936] 3 Periodic migrainous neuralgia [Harris, 1936] 4 Erythromelalgia of the head [Horton et al, 1939] 5 Histamine cephalalgia [Horton, 1941] 6 Horton's headache 7 Greater superficial petrosal neuralgia [Gardner ct al., 1947] 8 A particular variety of headache [Symonds, 1956] 9 Sphenopalatine neuralgia [Sluder, 1913] 10 Erythrosopalgia [Bing. 1913] 11 Vidian neuralgia [Vail, 1932] 12 Autonomic cephalalgia [Brickner and Riley.…”

Section: Cluster Headachementioning

confidence: 99%

The Classification of Headache

Fc¹

1985

Neuroepidemiology

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The definition of headache syndromes in the past have lacked precision, not only because different terms have been used for the same condition, but also because there is no general agreement on the essential characteristics of each. Since even minor variations will produce marked differences in case series purporting to be of the same disorder, it is important to get general agreement and to improve on previous classifications of headache.

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The Use of Histamine in the Treatment of Specific Types of Headache

Cited by 11 publications

References 0 publications

Cluster headache

Cluster headache

Migrainous features in cluster headache

The Classification of Headache

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