Paroxysmal neuralgic upper cervical pain attacks: the lower syndrome of cluster headache

Clinical Neurology and Neurosurgery
W R G VerslegersP P De Deyn

Abstract

We present a group of seven patients with a lower syndrome (LS) of cluster headache (CH). Seventy-three newly diagnosed patients with CH were subjected to a 9 years follow-up study; 66 patients were classified as upper syndrome (US) and only seven patients (9.5%) as LS. We focus on the characteristics of this group of seven patients with LS and compare them with existing literature. The seven cases with LS illustrate the wider spectrum of clinical manifestations that can occur in CH, namely infraortibal symptoms or these outside the territory of the trigeminal branches such as the upper cervical region or the craniocervical margin. The duration of the attacks can last more than 180 min. The attacks show a circadian/circannual regularity and a stereotypic pattern of symptoms in most of the patients. The severity and duration of the attacks may increase over the years. The neck pain can overshadow all the other symptoms of CH. Because of the regularity of the attacks at particular times of day or night in some patients, even abortive therapy can be used as prevention when taken some hours before the suspected attack. We hypothesize that some patients with LS may represent an anatomical-functional variant of a primary chronic neur...Continue Reading

References

Aug 1, 1991·The New England Journal of Medicine·UNKNOWN Sumatriptan Cluster Headache Study Group
Nov 1, 1990·Headache·O SjaastadV Pfaffenrath
May 1, 1990·Headache·S SolomonL C Newman
Mar 1, 1980·Brain : a Journal of Neurology·J M Pearce
Jul 1, 1993·Headache·L C SaninS Ali
Dec 17, 2002·Headache·Carola CademartiriGian Camillo Manzoni

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Citations

Sep 29, 2007·The Journal of Headache and Pain·Petra SostakAndreas Straube
May 8, 2008·Cephalalgia : an International Journal of Headache·C GaulP S Sándor
Feb 6, 2008·The Journal of Headache and Pain·Ertan MertNursel G Bilgin
Jul 10, 2007·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·Ramesh Balasubramaniam, Gary D Klasser
Oct 27, 2010·Cephalalgia : an International Journal of Headache·Christelle Créac'hRoland Peyron

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