Skip to main content

Advertisement

Log in

Ethical considerations in cluster headache research

  • Published:
Current Pain and Headache Reports Aims and scope Submit manuscript

Abstract

Cluster headache is the most painful of the primary headache disorders and elucidating pathophysiology and treatment for this disorder is crucial. There is justification for studying attacks untreated, and even for precipitating these attacks. Placebo-controlled studies should only be undertaken for regulatory purposes; otherwise, active control should be used.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References and Recommended Reading

  1. Dodick DW, Rozen TD, Goadsby PJ, Silberstein SD: Cluster headache. Cephalalgia 2000, 20:787–803. Superb, up-to-date clinical review of the pathophysiology and treatment of cluster headache.

    Article  PubMed  CAS  Google Scholar 

  2. Classification and diagnostic criteria for headache disorders, cranial neuralgias, and facial pain. Headache Classification Committee of the International Headache Society [no authors listed]. Cephalalgia 1988, 8(suppl 7):1–96.

  3. Mathew NT: Cluster headache. Neurology 1992, 42(suppl 2):22–31.

    PubMed  CAS  Google Scholar 

  4. Mathew NT: Cluster headache: clinical features and pathophysiology. Semin Headache Manage 1996, 1:1–4.

    Google Scholar 

  5. Kudrow L: Diagnosis and treatment of cluster headache. Med Clin North Am 1991, 75:579–594.

    PubMed  CAS  Google Scholar 

  6. May A, Bahra A, Buchel C, et al.: PET and MRA findings in cluster headache and MRA in experimental pain. Neurology 2000, 55:1328–1335. This is the most important pathophysiology study on cluster headache in the last decade.

    PubMed  CAS  Google Scholar 

  7. Fogan L: Treatment of cluster headache: a double blind comparison of oxygen versus air inhalation. Arch Neurol 1985, 42:362–363.

    PubMed  CAS  Google Scholar 

  8. Ekbom K: Treatment of acute cluster headache with sumatriptan. The Sumatriptan Cluster Headache Study Group. N Engl J Med 1991, 325:322–326.

    Article  Google Scholar 

  9. Hardebo JE, Dahlof C: Sumatriptan nasal spray (20 mg/dose) in the acute treatment of cluster headache. Cephalalgia 1998, 18:487–489. Establishes sumatriptan for cluster headache.

    Article  PubMed  CAS  Google Scholar 

  10. van VlietJA, Bahra A, Martin V, et al.: Intranasal sumatriptan is effective in the treatment of acute cluster headache: a double-blind placebo-controlled crossover study [abstract]. Cephalalgia 2001, 21:270–271.

    Google Scholar 

  11. Bahra A, Gawel MJ, Hardebo J-E, et al.: Oral zolmitriptan is effective in the acute treatment of cluster headache. Neurology 2000, 54:1832–1839. Establishes zolmitriptan for cluster headache.

    PubMed  CAS  Google Scholar 

  12. Marks DR, Rapoport A, Padla D, et al.: A double-blind placebo-controlled trial of intranasal capsaicin for cluster headache. Cephalalgia 1993, 13:114–116.

    Article  PubMed  CAS  Google Scholar 

  13. Phillips SB, Bernstein JE, and the Intranasal Civamide Study Group: Intranasal civamide: a novel neuropeptide active agent in development for the treatment of migraine and cluster headache [abstract]. Cephalalgia 2000, 20:333. Examines non-triptan nasal sprays for cluster headache.

    Google Scholar 

  14. Maxwell RE: Surgical control of chronic migrainous neuralgia by trigeminal gangliorhizolysis. J Neurol Surg 1982, 57:459–466.

    CAS  Google Scholar 

  15. Onofrio BM, Campbell JK: Surgical treatment of chronic cluster headache. Mayo Clin Proc 1986, 61:537–544.

    PubMed  CAS  Google Scholar 

  16. Mathew NT, Hurt W: Percutaneous radiofrequency trigeminal gangliorhizolysis in intractable cluster headache. Headache 1988, 28:328–331.

    Article  PubMed  CAS  Google Scholar 

  17. Ekbom K, Lindgren L, Nilsson BY, et al.: Retro-gasserian glycerol injection in the treatment of chronic cluster headache. Cephalalgia 1987, 7:21–27.

    Article  PubMed  CAS  Google Scholar 

  18. Leone M, Franzini A, D’Amico D, et al.: Stereotactic electrode implant in inferior posterior hypothalamic gray matter to relieve intractable chronic cluster headache: the first reported case [abstract]. Neurology 2001, 56(suppl 3):A218; also in Cephalalgia 2001, 21:503. An exciting new abstract describing the one case in which the hypothalamic gray was instrumented to stop cluster headache.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Tepper, S.J., Rapoport, A.M. & Sheftell, F.D. Ethical considerations in cluster headache research. Current Science Inc 6, 47–51 (2002). https://doi.org/10.1007/s11916-002-0023-8

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11916-002-0023-8

Keywords

Navigation