Dental presentations of cluster headaches
- 120 Downloads
Cluster headache has been defined by the International Headache Society (IHS) as one of the primary headaches. A primary headache is a headache that has no other known cause, such as infection or trauma. Cluster headache is also listed as one of the trigeminal autonomic cephalalgias. These headaches are mediated by the trigeminal nerve with accompanying autonomic symptoms that may range from conjunctival injection, lacrimation, nasal congestion, rhinorrhea, forehead and facial sweating, miosis, and ptosis to eyelid edema. The IHS has described cluster headache as "attacks of severe, strictly unilateral pain that is orbital, supraorbital, temporal or in any combination of these sites, lasting 15 to 180 minutes." In the author’s practice, as a dentist treating orofacial pain, patients with cluster headache have dental or midfacial complaints as a primary presentation. This paper introduces such presentations based on interviews with cluster headache patients, with the main purpose of having midfacial complaints considered as an important presentation to be added to the IHS diagnostic criteria for cluster headache.
KeywordsMigraine Cluster Headache Orofacial Pain Paroxysmal Hemicrania Cluster Headache Patient
Unable to display preview. Download preview PDF.
References and Recommended Reading
- 2.Headache Classification Subcommittee of the International Headache Society: The International Classification of Headache Disorders, edn 2. Cephalalgia 2004, 24(suppl 1):44–46.Google Scholar
- 3.Rasmussen BK: Epidemiology of cluster headache. In Cluster Headache and Related Conditions. Edited by Olesen J, Goadsby PJ. Oxford: Oxford University Press;1995:23–26.Google Scholar
- 6.Ekbom K: A clinical comparison of cluster headache and migraine. Acta Neurol Scand Suppl 1970, 41:1–48.Google Scholar
- 7.Kudrow L: Cluster Headache: Mechanisms and Management. New York: Oxford University Press; 1980.Google Scholar
- 12.Delcanho RE, Graff-Radford SB: Chronic paroxysmal hemicrania presenting as toothache. J Orofac Pain 1993, 7:300–306. Representative of an orofacial presentation of other types of trigeminal autonomic cephalalgias, it will help the reader appreciate the different diagnostic presentations.PubMedGoogle Scholar
- 14.Moncada E, Graff-Radford SB: Benign indomethacinresponsive headaches presenting in the orofacial region: eight case reports. J Orofac Pain Summer 1995, 9:276–284. This article also is representative of an orofacial presentation of other types of trigeminal autonomic cephalalgias.Google Scholar
- 15.Fricton JR, Gross SG: Muscle disorders. In Clinical Management of Temporomandibular Disorders and Orofacial Pain. Edited by PertesRA, GrossSG. Chicago: Quintessence; 1995:91.Google Scholar
- 16.Pertes RA, Heir GM: Differential diagnosis of orofacial pain. In Clinical Management of Temporomandibular Disorders and Orofacial Pain. Edited by PertesRA, GrossSG. Chicago: Quintessence; 1995:300.Google Scholar