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Interventional treatment for cluster headache: A review of the options

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Abstract

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.

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Authors and Affiliations

  1. Cleveland Clinic Headache Center, 9500 Euclid Avenue, 44195, Cleveland, OH, USA

    Todd D. Rozen MD

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  1. Todd D. Rozen MD
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Rozen, T.D. Interventional treatment for cluster headache: A review of the options. Current Science Inc 6, 57–64 (2002). https://doi.org/10.1007/s11916-002-0025-6

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  • DOI: https://doi.org/10.1007/s11916-002-0025-6

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