Cluster headache management and beyond

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Cluster headache: conventional pharmacological management.

Cluster headache pain is very intense, usually increases in intensity very rapidly from onset, and attacks are often frequent. These clinical features result in significant therapeutic challenges. The most effective pharmacological treatment options for acute cluster attack include subcutaneous sumatriptan, 100% oxygen, and intranasal zolmitriptan. Subcutaneous or intramuscular dihydroergotamin...

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Cluster headache

Cluster headache (CH) is a primary headache disease characterized by recurrent short-lasting attacks (15 to 180 minutes) of excruciating unilateral periorbital pain accompanied by ipsilateral autonomic signs (lacrimation, nasal congestion, ptosis, miosis, lid edema, redness of the eye). It affects young adults, predominantly males. Prevalence is estimated at 0.5-1.0/1,000. CH has a circannual a...

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Clinical Policy Bulletin: Migraine and Cluster Headache: Nonsurgical Management

Policy Aetna considers parenteral administration of dihydroergotamine (DHE) medically necessary for the treatment of intractable migraine or cluster headache. Prolonged multi-day administration of DHE is considered medically necessary when both of the following conditions are met: 1. Member has intractable cluster headache or severe migraine headache (i.e., status migrainosus, chronic daily hea...

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Cluster headache and depression.

OBJECTIVE As cluster headache (CH) is often referred to as "suicide headache," we wanted to assess the prevalence of depression in CH patients, and to investigate determinants of depression such as sleep disturbances. METHODS In a cross-sectional, web-based, validated questionnaire study among 462 well-defined CH patients and 177 controls, we diagnosed CH according to the ICHD-III. We assesse...

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Cluster headache.

INTRODUCTION The revised International Headache Society (IHS) criteria for cluster headache are: attacks of severe or very severe, strictly unilateral pain, which is orbital, supraorbital, or temporal pain, lasting 15 to 180 minutes and occurring from once every other day to eight times daily. METHODS AND OUTCOMES We conducted a systematic review and aimed to answer the following clinical que...

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ژورنال

عنوان ژورنال: Expert Opinion on Pharmacotherapy

سال: 2015

ISSN: 1465-6566,1744-7666

DOI: 10.1517/14656566.2015.1052741