open access

Vol 47, No 2 (2013)
OPIS PRZYPADKU
Submitted: 2012-02-23
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Cluster headache — a symptom of different problems or a primary form? A case report

Izabela Domitrz, Małgorzata Gaweł, Edyta Maj
DOI: 10.5114/ninp.2013.33028
·
Neurol Neurochir Pol 2013;47(2):184-188.

open access

Vol 47, No 2 (2013)
OPIS PRZYPADKU
Submitted: 2012-02-23

Abstract

Headache with severe, strictly one-sided unilateral attacks of pain in orbital, supraorbital, temporal localisation lasting 15-180 minutes occurring from once every two days to 8 times daily, typically with one or more autonomic symptoms, is recognized as cluster headache (CH). Headache with normal neurological examination and abnormal neuroimaging studies, mimicking cluster headache, is reported by several authors.

We present an elderly woman with a cluster-like headache probably associated with other comorbidities. We differentiate between primary, but ‘atypical’ CH and symptomatic cluster headache due to frontal sinusitis, pontine venous angioma or vascular compression of the trigeminal nerve root. This headache is not so rare in the general population and its secondary causes must be ruled out before the diagnosis of a primary headache as cluster headache is made.

Abstract

Headache with severe, strictly one-sided unilateral attacks of pain in orbital, supraorbital, temporal localisation lasting 15-180 minutes occurring from once every two days to 8 times daily, typically with one or more autonomic symptoms, is recognized as cluster headache (CH). Headache with normal neurological examination and abnormal neuroimaging studies, mimicking cluster headache, is reported by several authors.

We present an elderly woman with a cluster-like headache probably associated with other comorbidities. We differentiate between primary, but ‘atypical’ CH and symptomatic cluster headache due to frontal sinusitis, pontine venous angioma or vascular compression of the trigeminal nerve root. This headache is not so rare in the general population and its secondary causes must be ruled out before the diagnosis of a primary headache as cluster headache is made.

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Keywords

cluster headache, cluster-like headache, symptomatic headache, secondary headache

About this article
Title

Cluster headache — a symptom of different problems or a primary form? A case report

Journal

Neurologia i Neurochirurgia Polska

Issue

Vol 47, No 2 (2013)

Pages

184-188

DOI

10.5114/ninp.2013.33028

Bibliographic record

Neurol Neurochir Pol 2013;47(2):184-188.

Keywords

cluster headache
cluster-like headache
symptomatic headache
secondary headache

Authors

Izabela Domitrz
Małgorzata Gaweł
Edyta Maj

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