Summary
Definition
Анамнез и осмотр
Ключевые диагностические факторы
- repeated attacks of unilateral pain
- short duration
- excruciating pain
- lacrimation, rhinorrhea, and partial Horner syndrome
- agitation and restlessness
Факторы риска
- male sex
- family history
- head injury
- cigarette smoking
- heavy drinking
Диагностические исследования
Исследования, которые показаны в первую очередь
- brain and pituitary MRI without and with intravenous contrast
- erythrocyte sedimentation rate
Tests to avoid
- Electroencephalography (EEG)
Исследования, проведение которых нужно рассмотреть
- pituitary function tests
- magnetic resonance angiography (MRA) head and neck with and without contrast
- brain CT scan
- polysomnogram
- ECG
Алгоритм лечения
acute attack: without cardiovascular disease, cerebrovascular disease, or uncontrolled hypertension
acute attack: with cardiovascular disease, cerebrovascular disease, or uncontrolled hypertension
preventive treatment for episodic cluster headache
preventive treatment for chronic cluster headache
Составители
Авторы
Juliana VanderPluym, MD, FRCPC, FAHS
Associate Professor of Neurology
Department of Neurology
Mayo Clinic Arizona
Scottsdale
AZ
Раскрытие информации
JVP has received a research grant from Amgen. She has previously acted as a consultant for Teva and is on the editorial board of the American Migraine Foundation. JVP is a co-editor of the Headache section for Current Neurology and Neuroscience Reports.
Amaal J. Starling, MD
Associate Professor of Neurology
Department of Neurology
Mayo Clinic Arizona
Scottsdale
AZ
Раскрытие информации
AJS serves on the Board of Directors for the American Headache Society, the Alliance for Headache Disorders Advocacy, and the United Council for Neurologic Subspecialties. AJS has received consulting fees from AbbVie, Allergan, Amgen, Axsome Therapeutics, Eli Lilly & Company, Everyday Health, Impel, Lundbeck, Med-IQ, Medscape, Neurolief, Novartis, Satsuma, Teva, and Theranica. None are directly related to the topic of cluster headache.
Christoper C. Anderson, MD
Headache Medicine Fellow Physician
Mayo Clinic Arizona
Scottsdale
AZ
Раскрытие информации
CCA declares that he has no competing interests.
Выражение благодарностей
Dr Juliana VanderPluym, Dr Amaal J. Starling, and Dr Christopher C. Anderson would like to gratefully acknowledge Dr Sarah Miller, Dr Alok Tyagi, Dr Manjit S. Matharu, Dr Marc S. Husid, and Dr Davis L. Mellick, previous contributors to this topic.
Раскрытие информации
SM received an educational grant from St Jude Medical and Medtronic, and received payment for educational presentations from Allergan and Autonomic Technologies, Inc. AT was on advisory boards for Allergan and electroCore, and received organizational payments from eNeura, Allergan, and electroCore. MSM served on the advisory board for Allergan, St Jude Medical, and Medtronic, and received payment for the development of educational presentations from Allergan, MSD, Medtronic, and electroCore. MSH and DLM declare that they have no competing interests.
Рецензенты
Mark W. Green, MD, FAAN
Director of Headache and Pain Medicine
Professor of Neurology, Anesthesiology, and Rehabilitation Medicine
Icahn School of Medicine at Mount Sinai
New York
NY
Раскрытие информации
MWG declares that he has no competing interests.
Anne Walling, MD
Professor
Family and Community Medicine
University of Kansas School of Medicine
Wichita
KS
Раскрытие информации
AW declares that she has no competing interests.
Christian Lampl, MD, PhD
Department Head
Department of Neurology and Pain Medicine
Konventhospital Barmherzige Brüder Linz
Linz
Austria
Раскрытие информации
CL declares that he has no competing interests.
Список литературы
Основные статьи
Schindler EAD, Burish MJ. Recent advances in the diagnosis and management of cluster headache. BMJ. 2022 Mar 16;376:e059577. Аннотация
Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd edition. Cephalalgia. 2018 Jan;38(1):1-211.Полный текст Аннотация
American College of Radiology. ACR appropriateness criteria: headache. 2022 [internet publication].Полный текст
Robbins MS, Starling AJ, Pringsheim TM, et al. Treatment of cluster headache: the American Headache Society evidence-based guidelines. Headache. 2016 Jul;56(7):1093-106.Полный текст Аннотация
Law S, Derry S, Moore RA. Triptans for acute cluster headache. Cochrane Database Syst Rev. 2013 Jul 17;(7):CD008042.Полный текст Аннотация
May A, Evers S, Goadsby PJ, et al. European Academy of Neurology guidelines on the treatment of cluster headache. Eur J Neurol. 2023 Oct;30(10):2955-79.Полный текст Аннотация
Статьи, указанные как источники
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Отличия
- Migraine
- Paroxysmal hemicrania
- Short-lasting, unilateral, neuralgiform headache attacks with conjunctival injection and tearing (SUNCT)
Больше ОтличияРекомендации
- European Academy of Neurology guidelines on the treatment of cluster headache
- Headaches in pregnancy and postpartum: ACOG clinical practice guideline no. 3
Больше РекомендацииЛифлеты для пациента
Cluster headaches: what are they?
Cluster headaches: what treatments are available?
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