Ascending cluster headache: a description of three cases and a review of the literature.

Abstract:

INTRODUCTION:It has been previously shown that cluster headache (CH) can involve some extratrigeminal areas. Occipital pain has been recognized in several patients, even as the origin of the attacks. Nevertheless, the proposals of topographic variations of CH have been mainly focused on the location of pain in either supraorbital or infraorbital regions. CASE REPORTS:We report three patients fulfilling International Classification of Headache Disorders criteria for CH whose attacks started with mild or moderate headache at the occipital region and gradually moved forward over 10 to 30 minutes, finally reaching the ipsilateral orbital area. There the pain acquired typical CH features, with severe intensity and ipsilateral autonomic accompaniments. CONCLUSIONS:These descriptions of ascending CH probably reflect pathophysiological mechanisms involving the trigemino-cervical complex, and also offer theoretical support for some new therapeutic approaches such as great occipital nerve blockades or occipital neurostimulation.

journal_name

Rev Neurol

journal_title

Revista de neurologia

authors

Serna-Candel C,Cuadrado-Pérez ML,Guerrero-Peral ÁL,García-Ptacek S,Porta-Etessam J

subject

Has Abstract

pub_date

2011-04-01 00:00:00

pages

412-6

issue

7

eissn

0210-0010

issn

1576-6578

pii

rn2010685

journal_volume

52

pub_type

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