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Cluster headache natural history, complications and prognosis

Introduction

Overview

Overview

Cluster headache is one of the most common trigeminal autonomic cephalalgias. It is a life long condition and usually results in reduced quality of life and marked functional disability. Although, the frequency of episodes usually decrease with age, 80% of patients continue to experience the attacks even after 15 years of onset.

Natural History and Prognosis

Natural History and Prognosis

  • Cluster headache is one of the most common trigeminal autonomic cephalalgias.[1][2][3][4]
  • It is a life long condition and usually results in reduced quality of life and marked functional disability.
  • Although, the frequency of episodes usually decrease with age, 80% of patients continue to experience the attacks even after 15 years of onset.[5][6][7]
Complications

Complications

Cluster headache if left untreated or undiagnosed, is found to be associated with increased risk of depression and suicide.[1][2]

References

References

  1. ↑ 1.0 1.1 May A (2005). “Cluster headache: pathogenesis, diagnosis, and management”. Lancet. 366 (9488): 843–55. doi:10.1016/S0140-6736(05)67217-0. PMIDΒ 16139660.
  2. ↑ 2.0 2.1 Jensen RM, Lyngberg A, Jensen RH (June 2007). “Burden of cluster headache”. Cephalalgia. 27 (6): 535–41. doi:10.1111/j.1468-2982.2007.01330.x. PMIDΒ 17459083.
  3. ↑ D’Amico D, Rigamonti A, Solari A, Leone M, Usai S, Grazzi L, Bussone G (December 2002). “Health-related quality of life in patients with cluster headache during active periods”. Cephalalgia. 22 (10): 818–21. doi:10.1046/j.1468-2982.2002.00463.x. PMIDΒ 12485209.
  4. ↑ Donnet A, Lanteri-Minet M, Guegan-Massardier E, Mick G, Fabre N, GΓ©raud G, Lucas C, Navez M, Valade D (December 2007). “Chronic cluster headache: a French clinical descriptive study”. J. Neurol. Neurosurg. Psychiatry. 78 (12): 1354–8. doi:10.1136/jnnp.2006.112037. PMCΒ 2095607. PMIDΒ 17442761.
  5. ↑ Louter MA, Wilbrink LA, Haan J, van Zwet EW, van Oosterhout WP, Zitman FG, Ferrari MD, Terwindt GM (November 2016). “Cluster headache and depression”. Neurology. 87 (18): 1899–1906. doi:10.1212/WNL.0000000000003282. PMIDΒ 27694264.
  6. ↑ Matharu M (February 2010). “Cluster headache”. BMJ Clin Evid. 2010. PMCΒ 2907610. PMIDΒ 21718584.
  7. ↑ Manzoni GC, Terzano MG, Moretti G, Cocchi M (1981). “Clinical observations on 76 cluster headache cases”. Eur. Neurol. 20 (2): 88–94. doi:10.1159/000115213. PMIDΒ 7215402.

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sabeeh Islam, MBBS[2]