Epidemiology Cluster headache

Epidemiology Cluster headache

Cluster headache
Sex Cluster headache is a relatively rare episodic headache disorder, predominantly in men (Male: Female = 7: 1).3, 8, 9
Age The headache occurs between 18 and 40 years.9
Pain location Head and neck
Pain sensation / Symptoms This pain is peri- and / or retro-orbital2,8,9, frontal, temporal and occipital localized. The pain is accompanied by symptoms of autonomic dysregulation, such as tearing, red eye, stuffy or runny nose or a ptosis or meiosis (Horner) 7-10. Also dysesthesia in the area of ​​ophthalmic portion of the fifth cranial nerve when touching the scalp hair and photophobia are common symptoms. Usually, there are no signs of nausea, but it may occur8-10, it probably occurs most at severe attacks, or at the peak of the attacks. Vomiting occurs in cluster headache is less common than nausea. Autonomic symptoms and signs occur on the symptomatic side. In a small group there will be a reduction in the heart rate and an irregular heart activity, particularly during severe attacks. 8,9
Provocation Neck movements can provoke headaches. 2 During a cluster period, attacks provoked by vasodilating substances such as alcohol, nitroglycerin and histamine7,9, by low oxygen tension as in the high mountains and on intercontinental flights8 and prolonged stress.7,9
Diagnosis Cervicogenic headache: 20th – 50th year1,4
Cluster headache: 18th – 40 years old (M> F 7:1)9
Tension headache: 8th – 30th year
Literature
  1. Merskey H, Bogduk N. Classification of chronic pain, discriptions of chronic pain syndromes and definitions of pain terms. Seattle; IASP Press 1994
  2. Smith KL, Horn C. Cervicogenic headache part 1: an anatomic and clinical overview. South African Journal of Physiotherapy 1998;54:12-21.
  3. Solomon S. Diagnosis of primary headaches disorders: validity of the international headache society criteria in clinical practice. Neurologic Clinics 1997;15:15-25.
  4. Vanagaite J, Vingen. Photophobia and phonophobia in tension-type headache and cervicogenic headache. Cephalalgia 1998;18:313-318.
  5. Cranial Neuralgies and Facial Pain. Diagnostic criteria. Classification and diagnostic criteria for headache disorders. 1988;8.
  6. Hijdra A. Neurologie. Maarssen; Elzevier/Bunge 1994
  7. Merskey H, Bogduk N. Classification of chronic pain, discriptions of chronic pain syndromes and definitions of pain terms. Seattle; IASP Press 1994
  8. Oosterhuis HJGH. Klinische neurologie. Houten/ Antwerpen; Bohn Stafleu van Lochem 1992

 

Questionnaire (anamnesis)
Watson has developed a questionnaire, which provides information about the area, the quality, intensity, frequency, symptoms, duration of symptoms, the history, the provocative factors and mitigating factors of the headache. By the use of this questionnaire cluster headache can in any case be excluded6. The items listed in the questionnaire are practically equal points from anamnesis history.
Literature
  1. Watson DH, Trott PH. Cervical headache: an investigation of natural head posture and upper cervical flexor muscle performance. Cephalalgia 1993;13:272-282.

 

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