Cluster Headache

This book constitutes a compilation and integration of the latest advances in the management of cluster headaches. It encompasses the work of nine experts in the field of headache in the U.S. and presents a thorough and comprehensive view of the subject. Most of the participants at the symposium have spent years studying cluster headache and its variants. They present a variety of conceptions in a comprehensive manner. It is believed that the generalist, neurolo­ gist, or other medical specialist involved in the treatment of this difficult syndrome will derive diagnostic and therapeutic insight into its management. The patients seeking help and understanding of their condition will be the ultimate beneficiaries of its information. SEYMOUR DIAMOND, M.D. March, 1984 Preface The past decade has witnessed a surge of interest in the field of headache and related disorders. Even though the pathophysiology and pathogenesis of primary headache disorders are still poorly un­ derstood, recent clinical and therapeutic observations have greatly contributed to improvement of patient care in the headache field. Headache clinics specializing in the diagnosis and comprehensive management of headaches, now available in most major cities, have also helped in the progress of patient care and research. Front Matter....Pages i-xiii History, Nomenclature, Relation to Other Facial Pain Syndromes....Pages 1-13 Classification of Cluster Headache: Clinical Features of Episodic Cluster Headache....Pages 15-20 Variants of Cluster Headache....Pages 21-30 Nonheadache Disorders and Characteristics of Cluster Headache Patients....Pages 31-44 Peripheral Autonomic Abnormalities in Cluster Headache....Pages 45-56 Pathophysiologic Aspects of Cluster Headache....Pages 57-67 Cycles in Cluster Headache....Pages 69-72 The Psychological and Behavioral Aspects of the Cluster Headache Patient....Pages 73-78 The Relation of Cluster Headache to Migraine....Pages 79-87 Treatment and Management of Acute Cluster Headache....Pages 89-96 Prophylactic Pharmacotherapy of Cluster Headache....Pages 97-109 The Current Status of Histamine Desensitization in the Treatment of Cluster Headache....Pages 111-118 Surgical Therapy of Cluster Headache....Pages 119-125 Cluster Headache: The Treatment-Resistant Patient....Pages 127-133 Back Matter....Pages 135-156