A 36-year-old woman has had repeated episodes of concurrent hemifacial spasm and migraine for 8 years. Her history is summarized and possible pathophysiologic links are discussed.

A patient is described who developed recurrent headaches following a traumatic injury in the vicinity of the right greater occipital nerve (GON) that fulfill IHS criteria for migraine with aura. Both aura and headache can be triggered by pressure over the GON and relieved by local anesthetic blockade.

Cluster headache is one of the worst pain syndromes known to mankind. Medical treatment is highly effective in most cases, but because cluster headache is rare, many physicians are not familiar with the details of its management. This article reviews three common presentations of cluster headache to illustrate standard approaches to its treatment. Algorithms for acute, preventive, and transitional (bridge) therapy are provided.

No abstract