KEGG   DISEASE: Cluster headache
Entry
H01588                      Disease                                
Name
Cluster headache
Description
Cluster headache (CH) is the commonest of the trigeminal autonomic cephalalgias (TAC) characterized by attacks of severe, strictly unilateral pain, which is orbital, supraorbital, temporal, or in any combination of these sites, with duration of pain attacks of 15 to 180 min. The pain of CH is associated with ipsilateral conjunctival injection, lacrimation, nasal congestion, rhinorrhea, forehead and facial sweating, miosis, ptosis and/or eyelid edema, and/or restlessness or agitation. Headaches often recur at the same time each day during the cluster period, which can last for weeks to months. CH occurs more commonly in male patients (2.5:1 to 4.3:1 male to female) with an average age of onset in the third or fourth decade. The pathophysiology of CH is not fully understood, but may include a genetic component. Treatment focuses on avoiding triggers and includes abortive therapies, prophylaxis during the cluster period, and long-term treatment in patients with chronic CH. Evidence supports the use of supplemental oxygen, sumatriptan, and zolmitriptan for acute treatment of episodic CH. Verapamil is used to treat chronic CH. More invasive treatments, including nerve stimulation and surgery, may be helpful in refractory cases.
Category
Nervous system disease
Brite
Human diseases [BR:br08402]
 Nervous system diseases
  Other nervous and sensory system diseases
   H01588  Cluster headache
Human diseases in ICD-11 classification [BR:br08403]
 08 Diseases of the nervous system
  Headache disorders
   8A82  Trigeminal autonomic cephalalgias
    H01588  Cluster headache
Drug
Sumatriptan succinate [DR:D00676]
Other DBs
ICD-11: 8A82
ICD-10: G44.0
MeSH: D003027
Reference
PMID:26711274 (description, drug)
  Authors
VanderPluym J
  Title
Cluster Headache: Special Considerations for Treatment of Female Patients of Reproductive Age and Pediatric Patients.
  Journal
Curr Neurol Neurosci Rep 16:5 (2016)
DOI:10.1007/s11910-015-0610-9
Reference
  Authors
Gooriah R, Buture A, Ahmed F
  Title
Evidence-based treatments for cluster headache.
  Journal
Ther Clin Risk Manag 11:1687-96 (2015)
DOI:10.2147/TCRM.S94193
Reference
  Authors
Weaver-Agostoni J
  Title
Cluster headache.
  Journal
Am Fam Physician 88:122-8 (2013)
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