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Chronic Cluster Headache with an Atypical Presentation and Treatment Response
Joint Authors
Source
Case Reports in Neurological Medicine
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-12-29
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
The management of cluster headache (CH) may be challenging.
We report a 50-year-old male with recurrent attacks of dull and severe unilateral periorbital pain, lasting 30–45 minutes, twice a day, exclusively during sleep, and accompanied by ipsilateral rhinorrhea and lacrimation.
The pain switched sides within every attack.
CH treatment was initiated but the patient maintained recurrence rates compatible with chronic CH, even after increasing verapamil to 460 mg/day.
Afterwards we decided to add lithium (800 mg/day).
With this treatment the severity and recurrence of CH substantially decreased, despite the patient’s autonomous decision to take lithium only during the acute phase of the cluster.
The exclusively alternating location and the excellent response to short cycles of lithium represent two unique features of CH.
American Psychological Association (APA)
Santos, Telma& Morais, Hugo. 2016. Chronic Cluster Headache with an Atypical Presentation and Treatment Response. Case Reports in Neurological Medicine،Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1101290
Modern Language Association (MLA)
Santos, Telma& Morais, Hugo. Chronic Cluster Headache with an Atypical Presentation and Treatment Response. Case Reports in Neurological Medicine No. 2016 (2016), pp.1-4.
https://search.emarefa.net/detail/BIM-1101290
American Medical Association (AMA)
Santos, Telma& Morais, Hugo. Chronic Cluster Headache with an Atypical Presentation and Treatment Response. Case Reports in Neurological Medicine. 2016. Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1101290
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1101290