Headache: Cluster Flashcards
1
Q
Definition
A
Severe and unbearable unilateral headaches, usually around the eye (preorbital) with autonomic features
- 15-180 mins
- most disabling primary headache
2
Q
Epidemiology
A
Males
30-50
3
Q
Risk factors
A
Smokers
High alcohol intake
Autosomal dominant link?
4
Q
Signs and symptoms
A
crescendo unilateral preorbital excruciating pain, may affect temples too
Autonomic features + face flushing
- conjunctival infection + lacrimation (watery bloodshot eye)
- Rhinorrhea
Horner’s syndrome:
- ptosis (droopy eye)
- miosis (dilated unilateral pupil)
- anhidrosis (lack of sweating)
5
Q
Diagnosis
A
Clinically
5 < similar attacks confirms Dx
6
Q
Treatment
A
Acute = TRIPTANS (Sumatriptan) + High flow 100% O2 for 15-20 mins
Prophylaxis = CCB = VERAPIMIL
