Episodic Cluster Headaches May Fnu Cluster Headac

Episodic Cluster Headaches May Fnu Cluster Headac

Episodic Cluster Headaches May Fnu Cluster Headac

Cluster headache is a common form of headache that affects 0.1 percent of the population. Patients who suffer from cluster headaches attack from 15 to 180 minutes up to 8 times a day. The attacks are usually located on one side of the head around the orbit and in the temporal area. The attacks are marked by extreme unilateral pain, mostly in the first division of the trigeminal nerve, as well as prominent unilateral cranial autonomic symptoms and a feeling of agitation and restlessness (Wei et al., 2018). Patients who suffer from episodic cluster headaches may develop chronic cluster headaches and vice versa. Patients suffer from cluster headaches around the same time a year and due to the long period of remission, it may take a year for an official diagnosis. There is no special diagnostic test for cluster headaches, your physician will take a detailed history of your symptoms to make the diagnosis.

The goals for Richard are to stop the pain once it has started. There is no cure for cluster headaches but there is treatment for the pain which includes sumatriptan injections. During an attack, sumatriptan injections have been shown to relieve pain within 10 minutes. Tablets are generally ineffective for cluster headaches due to the time it takes for them to function (Rossi et al., 2016). Another goal to be set is preventative treatment. It is used thought out the cluster period to attempt to reduce the frequency and severity of the cluster attacks. Verapamil can be prescribed for the cluster headache that a daily dose can be effective in both episodic and chronic cluster headache (Rossi et al., 2016). Richard should be advised to keep a diary to identify his triggers to prevent them from occurring in the future.

References

Rossi, P., Whelan, J., Craven, A., & Ruiz De La Torre, E. (2016). What is cluster headache? Fact sheet for patients and their families. A publication to mark Cluster Headache Day 2016. Functional neurology, 31(3), 181–183. https://doi.org/10.11138/fneur/2016.31.3.181

Wei, D. Y., Yuan Ong, J. J., & Goadsby, P. J. (2018). Cluster Headache: Epidemiology, Pathophysiology, Clinical Features, and Diagnosis. Annals of Indian Academy of Neurology, 21(Suppl 1), S3–S8. https://doi.org/10.4103/aian.AIAN_349_17