Cluster headache is perhaps the most painful of the primary headache disorders. Its treatment includes acute, transitional, and preventive therapy. Despite the availability of many treatments, cluster headache patients can still be difficult to treat. We treated 14 cluster headache patients with greater occipital nerve block as transitional therapy (treatment initiated at the same time as preve...

BACKGROUND Cluster headache is a primary headache disorder characterized by periodic episodes of intense headache accompanied by autonomic symptoms. We report an unusual clinical presentation of cluster headache that was preceded by myoclonus and accompanied by hemiparesis. CASE REPORT A 26-year-old man visited hospital due to recurrent jerky movements on the left side of his face and neck ar...

Primary headache disorders affect large number of people worldwide. Migraine and tension type headaches constitute 95% of all headaches. Both tension type headaches and migraine impose huge socioeconomic impact on society. The role of non-pharmacological interventions in management of primary headaches is not entirely clear. Acupuncture is one of the most historical non pharmacological ways of ...

The US Headache Consortium is a group of 14 US doctors (mainly academic neurologists) who aim to “develop scientifically sound, clinically relevant practice guidelines on chronic headache in the primary care setting”. The consortium has produced several sets of guidelines, endorsed by the American Academy of Neurology and several other relevant US medical academic societies. These include the g...

Caffeine is the most widely used psychostimulant worldwide. Excessive caffeine consumption induces a series of both acute and chronic biological and physiological changes that may give rise to cognitive decline, depression, fatigue, insomnia, cardiovascular changes, and headache. Chronic consumption of caffeine promotes a pro-nociceptive state of cortical hyperexcitability that can intensify a ...

conclusions migraine and cluster headache have complex pathophysiologies. the exact mechanism causing pain in both conditions is incompletely understood and more research needs to be undertaken in this area. results there is evidence that the trigeminovascular system and neurogenic inflammation play important roles, together with certain areas of the brain, leading to these conditions being ter...

There is a definite relationship between the vascular type of benign sexual headache and benign exertional headache. Forty five patients with benign vascular sexual headache were reviewed. Twenty seven (60%) experienced benign vascular sexual headache alone and eighteen (40%) had experienced both benign vascular sexual headache and benign exertional headache on at least one occasion. The mean a...

Migraine is a common neurovascular disorder characterized by chronic episodic attacks of moderate to severe primary headache involving activation of trigeminal neurons. Despite its prevalence, the pathogenesis of migraine is not clearly understood. The pulsating nature of the headache suggests the involvement of the cranial vasculature in headache pathogenesis. However, current hypotheses empha...