Management of Cluster Headache

@article{TfeltHansen2012ManagementOC,
  title={Management of Cluster Headache},
  author={P. Tfelt-Hansen and R. Jensen},
  journal={CNS Drugs},
  year={2012},
  volume={26},
  pages={571-580}
}
The prevalence of cluster headache is 0.1% and cluster headache is often not diagnosed or misdiagnosed as migraine or sinusitis. In cluster headache there is often a considerable diagnostic delay — an average of 7 years in a population-based survey. Cluster headache is characterized by very severe or severe orbital or periorbital pain with a duration of 15–180 minutes. The cluster headache attacks are accompanied by characteristic associated unilateral symptoms such as tearing, nasal congestion… Expand
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32 Citations
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32 Citations

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Citation Type

Cluster Headache in Childhood
TLDR
Steroids showed a good clinical efficacy in interrupting cluster headache recurrence and acetaminophen as well as ibuprofen were ineffective; indomethacin was effective in 1 case. Expand
Pharmacotherapy of cluster headache
  • S. Evers
  • Medicine
  • Expert opinion on pharmacotherapy
  • 2010
TLDR
In most cases, cluster headache can be treated sufficiently by an individual concept of acute and prophylactic drug treatment and new anticonvulsants and unconventional ways of immunotherapy should be evaluated. Expand
Cluster headache attack remission with sphenopalatine ganglion stimulation: experiences in chronic cluster headache patients through 24 months
TLDR
In this population of 33 refractory CCH patients, neuromodulation of the SPG induced periods of remission from cluster attacks in a subset of these, and some patients experiencing remission were also able to reduce or stop their preventive medication and remissions were accompanied by an improvement in headache disability. Expand
Real-life treatment of cluster headache in a tertiary headache center – results from the Danish Cluster Headache Survey
TLDR
Episodic cluster headache is more responsive to acute therapy than chronic and sumatriptan injection was more effective than oxygen and the responder-rate was limited with verapamil. Expand
Exercise as a Promising Strategy to Manage Cluster Headache Pain: A Case Report
TLDR
Performing moderate-intensity aerobic exercise at the onset of a cluster headache attack may be an interesting non-pharmacologic intervention that can be used to ease pain symptoms. Expand
Triptans for acute cluster headache.
TLDR
Subcutaneous sumatriptan 6 mg was superior to intranasal zolmitriptan 5 mg or 10 mg for rapid (15 minute)responses, which are important in this condition, and Oral routes of administration are not appropriate. Expand
Management of chronic headache.
  • R. Beran
  • Medicine
  • Australian family physician
  • 2014
TLDR
This article provides a review of headache presentation and management, with an emphasis on chronic headaches and the differentiation between migraine and tension-type headache (TTH). Expand
Patient satisfaction with conventional, complementary, and alternative treatment for cluster headache in a Norwegian cohort
TLDR
About two-thirds of cluster headache patients were satisfied with treatment from either GPs or neurologists, and about one-third had used CAM. Expand
Acute, transitional and long-term cluster headache treatment: pharmacokinetic issues
TLDR
This work focused on how clinically significant pharmacokinetic drug-drug and food-drug interactions can be carefully managed both in cluster headache patients with a progressive frequency of bouts and in chronic cluster headache sufferers. Expand
Occipital Injections for Trigemino-Autonomic Cephalalgias: Evidence and Uncertainties
TLDR
The evidence supports the use of injected steroids, with or without the addition of an anesthetic, and can be used as an adjunct to an oral prophylactic for a quicker improvement in cluster headache management. Expand
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References

SHOWING 1-10 OF 58 REFERENCES
Cluster headache: pathogenesis, diagnosis, and management
TLDR
Time to diagnosis of cluster headache has improved, probably the result of a better understanding of the pathophysiology in combination with efficient treatment strategies, leading to a broader acceptance of the syndrome by doctors. Expand
Treatment of intractable chronic cluster headache by occipital nerve stimulation in 14 patients
TLDR
Improvement occurred within days to weeks for those who responded most and patients consistently reported their attacks returned within hours to days when the device was off and one patient found that ONS helped abort acute attacks. Expand
Triptans for acute cluster headache.
TLDR
Zolmitriptan and sumatriptan are effective in the acute treatment of cluster headaches and may provide a useful treatment option, potentially offering convenience over oxygen therapy and a better safety and tolerability profile than ergotamine. Expand
Medication-overuse headache in patients with cluster headache
TLDR
Medication-overuse headache is a previously underrecognized and treatable problem associated with cluster headache (CH). Expand
EFNS guidelines on the treatment of cluster headache and other trigeminal‐autonomic cephalalgias
TLDR
Large series suggest that lamotrigine is the most effective preventive agent, with topiramate and gabapentin also being useful in treatment of SUNCT syndrome, and surgical procedures, although in part promising, require further scientific evaluation. Expand
Effectiveness of intranasal zolmitriptan in acute cluster headache: a randomized, placebo-controlled, double-blind crossover study.
TLDR
Five-milligram and 10-mg doses of zolmitriptan intranasal spray are effective within 30 minutes and well tolerated in the treatment of acute cluster headache. Expand
Treatment costs and indirect costs of cluster headache: A health economics analysis
TLDR
Cluster headache leads to major socioeconomic impact on patients as well as society due to direct healthcare costs and indirect costs caused by loss of working capacity and direct costs due to healthcare utilisation. Expand
Towards a Definition of Intractable Headache for Use in Clinical Practice and Trials
TLDR
The definition of intractability is explored to provide some standard against which to test new treatments for patients, who have been called intractable and do not respond to regulatory-approved and other conventional preventive therapies. Expand
Burden of Cluster Headache
TLDR
Cluster headache, although periodic in most cases, has considerable impact on social functions, quality of life and use of healthcare. Expand
Oral zolmitriptan is effective in the acute treatment of cluster headache
TLDR
Oral zolmitriptan is efficacious in episodic cluster headache and was significantly superior to placebo for three of the four secondary endpoints, and well tolerated in patients with chronic cluster headache. Expand
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