Cluster headache - Revision history

Elcatracho: /* Management */

2021-01-12T22:11:42Z

Management

← Revisión anterior		Revisión del 22:11 12 ene 2021
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	*Subcutaneous or IM dihydroergotamine and intranasal sumatriptan are additional options		*Subcutaneous or IM dihydroergotamine and intranasal sumatriptan are additional options
	*[[Verapamil]] can be used for prophylaxis		*[[Verapamil]] can be used for prophylaxis
			*[[Prednisone]] taper with [[verapamil]] has shown to reduce frequency of attacks<ref>Obermann M, Nägel S, Ose C, et al. Safety and efficacy of prednisone versus placebo in short-term prevention of episodic cluster headache: a multicentre, double-blind, randomised controlled trial. Lancet Neurol. 2021;20(1):29-37. doi:10.1016/S1474-4422(20)30363-X</ref>

	==Disposition==		==Disposition==

Elcatracho: /* Management */

2020-12-22T22:15:48Z

Management

← Revisión anterior		Revisión del 22:15 22 dic 2020
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	*Intranasal zolmitriptan		*Intranasal zolmitriptan
	*Subcutaneous or IM dihydroergotamine and intranasal sumatriptan are additional options		*Subcutaneous or IM dihydroergotamine and intranasal sumatriptan are additional options
			*[[Verapamil]] can be used for prophylaxis

	==Disposition==		==Disposition==

ClaireLewis at 00:25, 3 October 2019

2019-10-03T00:25:12Z

← Revisión anterior		Revisión del 00:25 3 oct 2019
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	''At least 5 attacks of headache fulfilling the following criteria:''		''At least 5 attacks of headache fulfilling the following criteria:''
	#Severe '''unilateral''' orbital, supraorbital, or temporal pain lasting 15–180 min if untreated		#Severe '''unilateral''' orbital, supraorbital, or temporal pain lasting 15–180 min if untreated
	#Headache accompanied by at least one of the following:		#[[Headache]] accompanied by at least one of the following:
	#*Ipsilateral conjunctival injection and/or lacrimation		#*Ipsilateral conjunctival injection and/or lacrimation
	#*Ipsilateral nasal congestion and/or rhinorrhea		#*Ipsilateral nasal congestion and/or rhinorrhea
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	==Evaluation==		==Evaluation==
	*Consider other emergent causes of [[headache]] based on H&P		*Consider other emergent causes of [[headache]] based on H&P
	**Consider CT, LP, and/or eye pathology		**Consider [[head CT\|CT]], [[LP]], and/or eye pathology
	*Typically a clinical diagnosis		*Typically a clinical diagnosis

	==Management==		==Management==
	*High-flow O2 (effective in 70% of patients)<ref>Headache. 2013 Jul-Aug;53(7):1191-6. doi: 10.1111/head.12145. Epub 2013 Jun 14. Cluster headache: conventional pharmacological management. Becker WJ1.</ref>		*High-flow [[O2]] (effective in 70% of patients)<ref>Headache. 2013 Jul-Aug;53(7):1191-6. doi: 10.1111/head.12145. Epub 2013 Jun 14. Cluster headache: conventional pharmacological management. Becker WJ1.</ref>
	*Intranasal [[lidocaine]] 4%		*Intranasal [[lidocaine]] 4%
	*DHE		*DHE

Kxl328: /* DefinitionInternational Headache Society Diagnostic Criteria */

2018-10-12T03:34:12Z

DefinitionInternational Headache Society Diagnostic Criteria

← Revisión anterior		Revisión del 03:34 12 oct 2018
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	===Definition<ref>International Headache Society Diagnostic Criteria</ref>===		===Definition<ref>International Headache Society Diagnostic Criteria</ref>===
	''At least 5 attacks of headache fulfilling the following criteria:''		''At least 5 attacks of headache fulfilling the following criteria:''
	#Severe unilateral orbital, supraorbital, or temporal pain lasting 15–180 min if untreated		#Severe '''unilateral''' orbital, supraorbital, or temporal pain lasting 15–180 min if untreated
	#Headache accompanied by at least one of the following:		#Headache accompanied by at least one of the following:
	#*Ipsilateral conjunctival injection and/or lacrimation		#*Ipsilateral conjunctival injection and/or lacrimation

Leriotth at 13:20, 11 October 2016

2016-10-11T13:20:24Z

← Revisión anterior		Revisión del 13:20 11 oct 2016
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	*Occur most often in middle aged men		*Occur most often in middle aged men
	*Classically occur in "clusters" over days to weeks typically at the same time of day and same anatomical location.		*Classically occur in "clusters" over days to weeks typically at the same time of day and same anatomical location.
			*Triggers may be alcohol, nitroglycerin, histamine

	===Definition<ref>International Headache Society Diagnostic Criteria</ref>===		===Definition<ref>International Headache Society Diagnostic Criteria</ref>===

ClaireLewis: /* Management */

2016-09-11T00:03:01Z

Management

← Revisión anterior		Revisión del 00:03 11 sep 2016
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	==Management==		==Management==
	*High-flow O2 (effective in 70% of patients)<ref>Headache. 2013 Jul-Aug;53(7):1191-6. doi: 10.1111/head.12145. Epub 2013 Jun 14. Cluster headache: conventional pharmacological management. Becker WJ1.</ref>		*High-flow O2 (effective in 70% of patients)<ref>Headache. 2013 Jul-Aug;53(7):1191-6. doi: 10.1111/head.12145. Epub 2013 Jun 14. Cluster headache: conventional pharmacological management. Becker WJ1.</ref>
	*Intranasal lidocaine 4%		*Intranasal [[lidocaine]] 4%
	*DHE		*DHE
	*Sumatriptan		*[[Sumatriptan]]
	*Intranasal zolmitriptan		*Intranasal zolmitriptan
	*Subcutaneous or IM dihydroergotamine and intranasal sumatriptan are additional options		*Subcutaneous or IM dihydroergotamine and intranasal sumatriptan are additional options

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-22T02:47:48Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Revisión anterior		Revisión del 02:47 22 jul 2016
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	{{Headache DDX}}		{{Headache DDX}}

	==~~Diagnosis~~==		==Evaluation==
	*Consider other emergent causes of [[headache]] based on H&P		*Consider other emergent causes of [[headache]] based on H&P
	**Consider CT, LP, and/or eye pathology		**Consider CT, LP, and/or eye pathology

Neil.m.young: Text replacement - "==Treatment==" to "==Management=="

2016-07-07T10:21:22Z

Text replacement - "==Treatment==" to "==Management=="

← Revisión anterior		Revisión del 10:21 7 jul 2016
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	*Typically a clinical diagnosis		*Typically a clinical diagnosis

	==~~Treatment~~==		==Management==
	*High-flow O2 (effective in 70% of patients)<ref>Headache. 2013 Jul-Aug;53(7):1191-6. doi: 10.1111/head.12145. Epub 2013 Jun 14. Cluster headache: conventional pharmacological management. Becker WJ1.</ref>		*High-flow O2 (effective in 70% of patients)<ref>Headache. 2013 Jul-Aug;53(7):1191-6. doi: 10.1111/head.12145. Epub 2013 Jun 14. Cluster headache: conventional pharmacological management. Becker WJ1.</ref>
	*Intranasal lidocaine 4%		*Intranasal lidocaine 4%

Ostermayer: Text replacement - " pts" to " patients"

2016-06-21T16:49:29Z

Text replacement - " pts" to " patients"

← Revisión anterior		Revisión del 16:49 21 jun 2016
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	==Treatment==		==Treatment==
	*High-flow O2 (effective in 70% of ~~pts~~)<ref>Headache. 2013 Jul-Aug;53(7):1191-6. doi: 10.1111/head.12145. Epub 2013 Jun 14. Cluster headache: conventional pharmacological management. Becker WJ1.</ref>		*High-flow O2 (effective in 70% of patients)<ref>Headache. 2013 Jul-Aug;53(7):1191-6. doi: 10.1111/head.12145. Epub 2013 Jun 14. Cluster headache: conventional pharmacological management. Becker WJ1.</ref>
	*Intranasal lidocaine 4%		*Intranasal lidocaine 4%
	*DHE		*DHE

Ostermayer: Text replacement - "Category:Neuro" to "Category:Neurology"

2016-03-22T14:14:02Z

Text replacement - "Category:Neuro" to "Category:Neurology"

← Revisión anterior		Revisión del 14:14 22 mar 2016
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	<references/>		<references/>

	[[Category:~~Neuro~~]]		[[Category:Neurology]]