Current Pain and Headache Reports

, Volume 6, Issue 1, pp 57–64 | Cite as

Interventional treatment for cluster headache: A review of the options

  • Todd D. Rozen


There is no more severe pain than that sustained by a cluster headache sufferer. Surgical treatment of cluster headache should only be considered after a patient has exhausted all medical options or when a patient’s medical history precludes the use of typical cluster abortive and preventive medications. Once a cluster patient is deemed a medical failure only those who have strictly side-fixed headaches should be considered for surgery. Other criteria for cluster surgery include pain localizing to the ophthalmic division of the trigeminal nerve, a psychologically stable individual, and absence of addictive personality traits. To understand the rationale behind the surgical treatment strategies for cluster, one must have a general understanding of the anatomy of cluster pathogenesis. The most frequently used surgical techniques for cluster are directed toward the sensory trigeminal nerve and the cranial parasympathetic system.


Cluster Headache Trigeminal Nerve Gamma Knife Chronic Cluster Headache Microvascular Decompression 
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Copyright information

© Current Science Inc 2002

Authors and Affiliations

  • Todd D. Rozen
    • 1
  1. 1.Cleveland Clinic Headache CenterClevelandUSA

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