Advertisement
Feature Article

Cluster headache. How to ‘break the bout’ early

Michael Eller

Figures

© CLAUS LUNAU/SPL
© CLAUS LUNAU/SPL

Abstract

Cluster headache is an extremely painful and disabling condition. Often there is a significant delay to diagnosis. Medical interventions can shorten or ameliorate the intensity of discomfort during an attack. The best management strategy is to terminate a bout early.

Key Points

  • The diagnosis of cluster headache should not be missed. Other diagnoses such as paroxysmal hemicrania may need to be actively excluded.
  • Management strategies for cluster headache are often effective.
  • Patients should be referred to a neurologist if the diagnosis is in doubt or if initial management strategies have failed.
  • Several new treatment modalities will become available soon for treatment-resistant patients.

Figures

© CLAUS LUNAU/SPL
© CLAUS LUNAU/SPL