Skip to main content
  • 103 Accesses

Abstract

Richard is a 40-year-old man with a history of 4 weeks of cluster headache once each year. These began when he was 35 years old. His cluster periods occur in the fall. The cluster period begins slowly, increasing over 1 week, reaching a peak where Richard has two or three severe cluster attacks each day. They occur from 10 p.m. to 3 a.m. Each cluster headache lasts from 40 to 90 minutes, and the headaches are severe. The pain is always on the right side, with eye tearing and nasal congestion.

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

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 74.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Anderson P, Jespersen L. Dihydroergotamine nasal spray in the treatment of attacks of cluster headache. Cephalalgia. 6:51–54; 1986.

    Article  Google Scholar 

  • Anthony M. Arrest of attacks of cluster headache by local steroid injection of the occipital nerve. In: Migraine: Clinical and Research Advances. FC Rose, ed. Basel; Karger: 169; 1985.

    Google Scholar 

  • Barre F. Cocaine as an abortive agent in cluster headache. Headache. 22:69–73; 1982.

    Article  PubMed  CAS  Google Scholar 

  • Campbell JK. Cluster headache. In: Management of headache. FC Rose, ed. New York; Raven Press: 115–126; 1988.

    Google Scholar 

  • Couch JR, Ziegler D. Prednisone therapy for cluster headache. Headache. 17:15–18; 1977.

    Article  Google Scholar 

  • Diamond S, Freitag FG, Prager J, Gandhi S. Treatment of intractable cluster. Headache. 26:42–46; 1986.

    Article  PubMed  CAS  Google Scholar 

  • Ekbom K. Lithium for cluster headache: review of the literature and preliminary results of long-term treatments. Headache. 21:132–139; 1981.

    Article  PubMed  CAS  Google Scholar 

  • Ekbom K, Lindgren L, Nilsson BY, Hardebo JE, Waldenlind E. Retro-gasserian glycerol injection in the treatment of chronic cluster headache. Cephalalgia. 7:21–27; 1987.

    Article  PubMed  CAS  Google Scholar 

  • Fusco BM, Geppetti P, Fancicullacci M, Sicuteri F. Local application of capsaicin for the treatment of cluster headache and idiopathic trigeminal neuralgia. Cephalalgia. 11(Suppl 2):234–235; 1991.

    Google Scholar 

  • Gabe IJ, Spierings ELH. Prophylactic treatment of cluster headache with verapamil. Headache. 29:167–168; 1989.

    Article  Google Scholar 

  • Hardebo JE. On pain mechanisms in cluster headache. Headache. 31:91–106; 1991.

    Article  PubMed  CAS  Google Scholar 

  • Hassenbusch SJ, Kunkel RS, Kosmorsky GS, Covington EC, Pillay PK. Trigeminal cisternal injection of glycerol for treatment of chronic intractable cluster headaches. Headache Quarterly, Cur Tx & Res. 3(2):222; 1992.

    Google Scholar 

  • Hering R, Kuritzky A. Sodium valproate in the treatment of cluster headache: an open clinical trial. Cephalalgia. 9:195–198; 1989.

    PubMed  CAS  Google Scholar 

  • Kitrelle J, Grouse D, Seybold M. Cluster headache, local anesthetic abortive agents. Arch Neurol. 41:496–498; 1985.

    Article  Google Scholar 

  • Kittrelle JP, Grouse DS, Seybold M. Cluster headache: local anaesthetic abortive agents. Arch Neurol. 42:406–408; 1985.

    Article  Google Scholar 

  • Klapper JA. Recent advances in the treatment of cluster headache. Headache Quarterly, Cur Tx & Res. 3(Suppl 1):10–15; 1992.

    Google Scholar 

  • Kudrow L. Cluster Headache, Mechanisms and Management. Oxford: Oxford University Press; 1980.

    Google Scholar 

  • Kudrow L. Cluster headaches. In: Migraine: Clinical, Therapeutic, Conceptual and Research Aspects. JN, Blau ed. London; Chapman & Hall: 113–133; 1987.

    Google Scholar 

  • Kudrow L. Cluster headache. Clin J Pain. 5:29–38; 1989.

    Article  PubMed  CAS  Google Scholar 

  • Kudrow L. Lithium prophylaxis for chronic cluster headache. Headache. 17: 15–18; 1977.

    Article  PubMed  CAS  Google Scholar 

  • Kudrow L. Subchronic cluster headache. Headache. 27:197–200; 1987.

    Article  PubMed  CAS  Google Scholar 

  • Kudrow L. Response of cluster headache attacks to oxygen inhalation. Headache. 21:1–4; 1981

    Article  PubMed  CAS  Google Scholar 

  • Kudrow L. Comparative results of prednisone, methysergide and lithium therapy in cluster headache. In: Current Concepts in Migraine Research. R Croons, ed. New York; Raven Press: 159–163; 1978.

    Google Scholar 

  • Manzoni GC, Micieli G, Granella F, Tassoreli C, Zanferrari C, Cavallini A. Cluster headache—course over ten years in 189 patients. Grappi Award Lecture, Vth International Headache Congress, Washington DC: 1991.

    Google Scholar 

  • Mather PJ, Silberstein SD, Schulman EA, Hopkins MM. The treatment of cluster headache with repetitive intravenous dihydroergotamine. Headache Quarterly, Cur Tx & Res. 3(2):222; 1992.

    Google Scholar 

  • Mathew N. Clinical subtypes of cluster headache and response to lithium therapy. Headache. 18:26–80; 1978.

    Article  Google Scholar 

  • Mathew NT. Cluster headache. Neurology. 42(Suppl 2):22–31; 1992.

    PubMed  CAS  Google Scholar 

  • Matthew N. Indomethacin responsive headache syndrome. Headache. 21: 147–150; 1981.

    Article  Google Scholar 

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

    Article  PubMed  CAS  Google Scholar 

  • Meyer JS, Hardenberg J. Clinical effectiveness of calcium entry blockers in prophylactic treatment of migraine and cluster headaches. Headache. 23:266–277; 1983.

    Article  PubMed  CAS  Google Scholar 

  • Meyer JS, Nance M, Walker M, Zetusky WJ, Dowell Jr RE. Migraine and cluster headache treatment with calcium antagonists supports a vascular pathogenesis. Headache. 25:358–367; 1985.

    Article  PubMed  CAS  Google Scholar 

  • Mullally WJ, Livingstone KR. The treatment of chronic cluster headache with nifedipine. Headache. 24:264–265; 1984.

    Google Scholar 

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

    PubMed  CAS  Google Scholar 

  • Raskin NH. Cluster headache. In: Headache. New York; Churchill Livingstone: 243–244; 1988.

    Google Scholar 

  • Saper J. Cluster headache. In: Headache Disorders. Boston; John Wright: 108–109; 1983.

    Google Scholar 

  • Solomon S, Karfunkel P, Gughelmo JM. Migraine-cluster headache syndrome. Headache. 25:236–239; 1985.

    Article  PubMed  CAS  Google Scholar 

  • Staghano R, Gallagher RM. Combination ergotamine and lithium therapy in the chronic cluster headache patient. Headache. 23:147; 1983.

    Google Scholar 

  • Sumatriptan Cluster Headache Study Group. Treatment of acute cluster headache with sumatriptan. N Engl J Med. 6:322–326; 1991.

    Google Scholar 

  • Wilkins RH, Morgenlander JC. Results of surgical treatment of cluster headache: initial rehef followed by recurrence. Neurosurgery. 24:948–951; 1989.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 1994 Springer-Verlag New York Inc.

About this chapter

Cite this chapter

Robbins, L.D. (1994). Cluster Headache Sample Case Studies. In: Management of Headache and Headache Medications. Springer, New York, NY. https://doi.org/10.1007/978-1-4684-0195-0_11

Download citation

  • DOI: https://doi.org/10.1007/978-1-4684-0195-0_11

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4684-0197-4

  • Online ISBN: 978-1-4684-0195-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics