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 Neuroljournal_title
Revista de neurologiaauthors
Serna-Candel C,Cuadrado-Pérez ML,Guerrero-Peral ÁL,García-Ptacek S,Porta-Etessam Jsubject
Has Abstractpub_date
2011-04-01 00:00:00pages
412-6issue
7eissn
0210-0010issn
1576-6578pii
rn2010685journal_volume
52pub_type
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