Type your tag names separated by a space and hit enter

Headache, Cluster

Headache, Cluster is a topic covered in the 5-Minute Emergency Consult.

To view the entire topic, please or purchase a subscription.

Emergency Central is a collection of disease, drug, and test information including 5-Minute Emergency Medicine Consult, Davis’s Drug, McGraw-Hill Medical’s Diagnosaurus®, Pocket Guide to Diagnostic Tests, and MEDLINE Journals created for emergency medicine professionals. Explore these free sample topics:

Emergency Central

-- The first section of this topic is shown below --

Basics

Description

  • Excruciatingly painful primary headache disorder
    • Infrequent cause of ED visits and affects only 0.1% of the population
  • Often has abated by time of presentation
    • Attacks last between 15 and 180 min (75% last <60 min)
  • More common in men (∼3:1)
  • Onset usually between 30 and 50 yr of age
  • Headaches occur in clusters lasting weeks to months followed by remission >1 mo
  • Commonly occur 1–3 times per day during cluster period that lasts 2–3 mo
  • Often occur during the same time of day
  • Often occur during the same time of the year
    • Highest incidence in spring and fall
  • Chronic cluster headache:
    • Remission <1 mo
    • Do not experience remission
    • 10% of patients
  • May have many clinical and pathophysiologic similarities with migraine and variants
  • Often follows a trigeminal nerve dermatome

Etiology

A well-described physiologic reflex arc, the trigeminovascular reflex, potentiates the trigeminal pain and cranial autonomic features of cluster headache by positive feedback mechanisms.

-- To view the remaining sections of this topic, please or purchase a subscription --

Citation

* When formatting your citation, note that all book, journal, and database titles should be italicized* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Headache, Cluster ID - 307059 ED - Barkin,Adam Z, ED - Barkin,Roger M, ED - Hayden,Stephen R, ED - Rosen,Peter, ED - Schaider,Jeffrey J, ED - Shayne,Philip, ED - Wolfe,Richard E, BT - 5-Minute Emergency Consult UR - https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307059/all/Headache__Cluster PB - Lippincott Williams & Wilkins ET - 5 DB - Emergency Central DP - Unbound Medicine ER -