Chronic Cluster Headache with a Pediatric Onset: The First Japanese Case Report

Abstract

A 9-year-old female reported left-sided, excruciatingly severe, stabbing orbital pain with cranial autonomic symptoms. The attacks continued for 1 year with a remission period of 2 months. Each attack duration was approximately 120 minutes with a frequency of two to three times a day. The patient was diagnosed with chronic cluster headache (CCH) according to the third edition of the International Classification of Headache Disorders. A combination of low-dose verapamil and lomerizine once a week decreased the frequency of the attacks, and oral sumatriptan became an effective abortive therapy. No case reports of pediatric CCH have been previously published in Japan.

Fremanezumab and Non-High-Dose Galcanezumab for Comorbid Cluster Headache in Patients with Migraine: Three Cases

“…CH patients suffer from a 60-month diagnostic delay despite the pain’s severity. The headache lasts for 15 to 180 min, often occurring in a circadian and circannual pattern [ 2 , 3 , 4 ]. Population-based studies calculated a lifetime prevalence ranging from 56 to 381 per 100,000 [ 5 ].…”