open access

Vol 51, No 2 (2017)
Case reports
Submitted: 2015-09-17
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A case report of an adolescent with cluster headaches following neck trauma: Coincidence or trigger?

Agnieszka Biedroń, Marek Kaciński, Małgorzata Steczkowska, Anna Świerczyńska
DOI: 10.1016/j.pjnns.2016.12.003
·
Neurol Neurochir Pol 2017;51(2):170-173.

open access

Vol 51, No 2 (2017)
Case reports
Submitted: 2015-09-17

Abstract

Posttraumatic headaches usually have tension-type or migraine-like characteristics. A correlation between head trauma and cluster headaches (CH) has been previously reported. CH in children are rare and require thorough differential diagnosis. We present an original case of a 15-year-old boy with cluster headaches associated with allodynia probably evoked by a neck trauma. Severe headache attacks started one month after neck trauma. At the beginning clinical presentation of our patient's headaches was very misleading. Headaches were bilateral and associated with infection. Initial diagnosis of sinusitis was made. During further observation headaches have become unilateral with typical for CH associated symptoms and additionally with allodynia. Other causes of secondary CH like cervicogenic headaches, brain tumor and vascular malformation have been excluded. The boy has undergone prophylactic treatment based on flunarizine and gabapentin with good result. Possible pathogenesis of our patient's headaches has been proposed and diagnostic traps discussed.

Abstract

Posttraumatic headaches usually have tension-type or migraine-like characteristics. A correlation between head trauma and cluster headaches (CH) has been previously reported. CH in children are rare and require thorough differential diagnosis. We present an original case of a 15-year-old boy with cluster headaches associated with allodynia probably evoked by a neck trauma. Severe headache attacks started one month after neck trauma. At the beginning clinical presentation of our patient's headaches was very misleading. Headaches were bilateral and associated with infection. Initial diagnosis of sinusitis was made. During further observation headaches have become unilateral with typical for CH associated symptoms and additionally with allodynia. Other causes of secondary CH like cervicogenic headaches, brain tumor and vascular malformation have been excluded. The boy has undergone prophylactic treatment based on flunarizine and gabapentin with good result. Possible pathogenesis of our patient's headaches has been proposed and diagnostic traps discussed.

Get Citation

Keywords

Post-traumatic headache, Cluster headache, Adolescent

About this article
Title

A case report of an adolescent with cluster headaches following neck trauma: Coincidence or trigger?

Journal

Neurologia i Neurochirurgia Polska

Issue

Vol 51, No 2 (2017)

Pages

170-173

DOI

10.1016/j.pjnns.2016.12.003

Bibliographic record

Neurol Neurochir Pol 2017;51(2):170-173.

Keywords

Post-traumatic headache
Cluster headache
Adolescent

Authors

Agnieszka Biedroń
Marek Kaciński
Małgorzata Steczkowska
Anna Świerczyńska

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