Cluster Headache Flashcards
1
Q
What causes cluster headaches?
A
Unknown
- Accepted theory is smooth muscle hyperactivity in superficial temporal artery
2
Q
Symptoms of a cluster headache?
A
UNILATERAL severe pain
- Orbital/temporal
- Rapid onset
- Short duration (15-300 mins)
Ipsilateral autonomic symptoms on affected side
- Sweating
- Tearing
- Nasal productions
- Red eye
Aura
3
Q
DDx of clusters?
A
- Migraine
- Paroxysmal hemicrania
- SUNCT
All usually distinguished by length of attack
4
Q
What type of headache is a cluster?
A
Primary
5
Q
What tests should be done for a cluster headache?
A
Can MRI but costly
Usually just diagnose from history
6
Q
What treatment should be given to abort a headache?
A
Sumatriptan
100% oxygen for 15 mins
7
Q
What treatment can be given to abort a bout of headaches?
A
Domperidone injection in occipital area on same affected side in severe cases
Tapering prednisolone course
