Head trauma and cluster headache

Manzoni, Gian Camillo; Lambru, Giorgio; Torelli, Paola

doi:10.1007/s11916-006-0024-0

Cited by 11 publications

(7 citation statements)

References 31 publications

(43 reference statements)

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“…However, migraine type was most prevalent, but, interestingly, TAC type was the second most prevalent, raising the possibility that more focal, severe and episodic headaches may suggest a relationship with the mechanism of injury. In an historical footnote, those papers relating cluster headache patients to head injury or violence suggest that the pugnacious nature of males with cluster headaches, including the authors' noting of alcohol seeking, may be a part of the reason for some of this association (64)(65)(66)(67). The relevance of this to service members is not implied, but war, by definition, involves fighting.…”

Section: Finkel Et Almentioning

confidence: 99%

Headache in military service members with a history of mild traumatic brain injury: A cohort study of diagnosis and classification

et al. 2016

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Introduction Headaches after concussion are highly prevalent, relatively persistent and are being treated like primary headaches, especially migraine. Methods We studied all new patients seen between August 2008 and December 2009 assessed by a civilian headache specialist at the TBI Center at Womack Army Medical Center, Fort Bragg, NC. We report sample demographics, injuries and headache characteristics, including time from injury to headache onset, detailed descriptions and International Classification of Headache Disorders second edition primary headache diagnosis type. Results A total of 95 soldiers reported 166 headaches. The most common injury cited was a blast (53.7%). Most subjects (76.8%) recalled the onset of any headache within 7 days of injury. The most commonly diagnosed headache was a continuous type with migraine features ( n = 31 (18.7%)), followed by chronic migraine (type 1.5.1, n = 14 (8.4%)), migraine with aura (type 1.2.1, n = 10 (6.0%)), hemicrania continua (type 4.7, n = 12 (7.2%)), chronic cluster (type 3.1.2, n = 6 (3.6%)) and headaches not otherwise classifiable (type 14.1, n = 5 (3.0%)) also present. The most clinically important was a continuous headache with migraine features. Conclusion We present a series of patients seen in a military treatment facility for headache diagnosis after concussion in whom we found migraine, as well as uncommon primary headache types, at frequencies that were much higher than expected.

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Section: Finkel Et Almentioning

confidence: 99%

Headache in military service members with a history of mild traumatic brain injury: A cohort study of diagnosis and classification

et al. 2016

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“…5,6 An important review published in 2006 by Manzoni et al, clearly demonstrated the significant relation between head trauma and cluster headache. 7 The temporal relationship between headache onset and head injury can be variable, ranging from immediate onset to 30 years after the trauma. 5 Turkewitz et al, reported one case of post-traumatic cluster headache, with clinical symptoms emerging 6 days after the trauma, so with close proximity between head injury and the onset of cluster headache.…”

Section: Discussionmentioning

confidence: 99%

Cluster Headache Secondary to Trauma Presenting with Unilateral Mydriasis

Pinheiro¹

2024

Sinapse

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Cluster headache is the most common trigeminal autonomic cephalalgia, it can be a primary or secondary headache. Attacks are frequently associated with autonomic symptoms, due to parasympathetic activation and sympathetic defect. An 86-yearold woman, with no previous history of headache, developed a right supraorbital headache, two weeks after a fall, that resulted in mild head trauma to the ipsilateral frontal region. She complained of intense, daily attacks, with a circadian rhythm, lasting approximately 50-60 minutes, without psychomotor agitation. During the episodes, she noted right monocular blurred vision, and occasionally perceived colored shapes. During the attacks, right eye mydriasis was seen, without other autonomic signs. The diagnosis of cluster headache was admitted and started symptomatic treatment with oxygen and prophylaxis with verapamil, with unequivocal improvement. We pretend to highlight this complex and poorly understood relation between trauma and cluster headache, as well as emphasize the atypical autonomic manifestations of this entity. ResumoA cefaleia em salvas é a mais comum das cefaleias trigémino-autonómicas, podendo tratar-se de uma cefaleia primária ou secundária. As crises associam-se habitualmente a sintomas autonómicos, resultantes de ativação parassimpática e defeito simpático. Mulher de 86 anos, sem antecedentes de cefaleia, desenvolveu, duas semanas após queda com trauma ligeiro da região frontal direita, cefaleia supraorbitária ipsilateral. Apresentava crises diárias, intensas, com ritmo circadiano, duração de 50-60 minutos e sem agitação psicomotora associada. Durante os episódios, descrevia sensação de visão turva, ocasionalmente perceção de formas coloridas e apresentava midríase do olho direito, sem outros sinais autonómicos acompanhantes. Admitiu-se cefaleia em salvas e foi iniciado tratamento sintomático com oxigénio e profilaxia com verapamil, com melhoria significativa. Pretendemos evidenciar a complexa e ainda pouco esclarecida relação entre o trauma e a cefaleia em salvas, bem como alertar para as possíveis manifestações autonómicas atípicas desta entidade.

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“…50,51 Frequently, headaches phenotypically resembling chronic tension-type headache coexist with episodic migraine or migrainous headache. 48 Very rare case reports have attributed trauma to the onset of headaches phenotypically similar to several of the less common primary headache disorders, including cluster headache, [52][53][54][55] hemicrania continua, 56 SUNCT, 57 and chronic paroxysmal hemicrania. 58…”

Section: Pth In Unique Populations-the Military and Sports-mentioning

confidence: 99%

From Psychoneurosis to ICHD‐2: An Overview of the State of the Art in Post‐Traumatic Headache

Gladstone

2009

Headache

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Post-traumatic headache (PTH) is an important public health issue - head injuries are common, headache is the most common sequelae of head injuries, and PTH can be particularly disabling. Fortunately, for most individuals with PTH, the headache gradually dissipates over a period of several days, weeks, or months either spontaneously or aided by non-pharmacologic and/or pharmacologic management. Regrettably, for a minority of head-injured individuals, the PTH is intractable and disabling despite aggressive and comprehensive treatment. Unfortunately, there are many prejudices against individuals with PTH. Frequently, the presence or absence of litigation and/or the mechanism of head injury (sports-related trauma, slip-and-fall injury, motor vehicle accident, or military service-related injury) biases physicians' views on the legitimacy of the patient's PTH. Accordingly, this review attempts to summarize the state of the art of our understanding of PTH. This clinical review highlights: (a) views on PTH throughout the last few centuries, (b) the ICHD-2 classification of PTH, (c) the epidemiology of head injuries and PTH, (d) the clinical characteristics of PTH, (e) PTH related postconcussive symptoms, (f) pathophysiology of PTH, (g) evaluation of PTH, and (h) management of PTH.

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Head trauma and cluster headache

Cited by 11 publications

References 31 publications

Headache in military service members with a history of mild traumatic brain injury: A cohort study of diagnosis and classification

Headache in military service members with a history of mild traumatic brain injury: A cohort study of diagnosis and classification

Cluster Headache Secondary to Trauma Presenting with Unilateral Mydriasis

From Psychoneurosis to ICHD‐2: An Overview of the State of the Art in Post‐Traumatic Headache

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