cluster headaches Flashcards
1
Q
why cluster
A
occur in clusters of attacks then disappear for a while
e.g. 3/4 attacks for a day for wks/months followed by years of no pain
2
Q
length of attacks
A
15min-3hrs
3
Q
typical patient
A
30-40yo male smoker
4
Q
triggers
A
alcohol
strong smells
exercise
5
Q
features
A
severe + intolerable unilateral red, swollen, watery eye miosis ptosis nasal discharge facial swelling
6
Q
acute Mx
A
triptans
high flow 100% oxygen for 15-20min
7
Q
prophylaxis optios
A
verapamil
prednisolone during clusters to break cycle
