Cluster Headache Flashcards
1
Q
What are the clinical features of a cluster headache?
A
LOCATION : Unilateral
PAIN : Variable (usually sharp, stabbing), very intense
OTHER SYMPTOMS : Red and/or watery eye, swollen/drooping eyelid, constricted pupil, runny nose, sweating (facially), patient is restless/agitated
DURATION : 15 mins - 180 mins
2
Q
What are the risk factors for cluster headaches?
A
Male, FHx, Smoking, Alcohol
3
Q
What is the first line treatment for an ongoing cluster headache?
A
WITHOUT any cardiovascular disease or uncontrolled hypertension = 100% oxygen + S.C Triptan
WITH a cardiovascular disease or uncontrolled hypertension = 100% oxygen + intranasal Lidocaine
4
Q
What are the prophylactic treatments available against cluster headaches?
A
Avoiding triggers, verapamil, sodium valproate
