childhood-onset cluster headache is an excruciatingly painful and distressing condition. a retrospective study was conducted on charts of patients referring to our headache center. those diagnosed as cluster headache were selected. we identified 11 children (6 males and 5 females). the mean age of cluster headache onset was 10 years (range: 5-16). all children had episodic cluster headache. all children had unilateral orbital pain; 7 patients had throbbing pain, whereas 4 children complained stabbing pain. the mean duration of the attack was 86 minutes (ranging from 30 to 180 minutes). the frequency of episodes was between 1 and 4 per day. all children had the typical cluster headache autonomic features, such as lacrimation, conjunctival injection, ptosis, and nostril rhinorrhea. steroids showed a good clinical efficacy in interrupting cluster headache recurrence. as symptomatic drugs, acetaminophen as well as ibuprofen were ineffective; indomethacin was effective in 1 case.

Mariani, R., Capuano, A., Torriero, R., Tarantino, S., Properzi, E., Vigevano, F., et al. (2013). Cluster Headache in Childhood. JOURNAL OF CHILD NEUROLOGY, 29(1) [10.1177/0883073812470735].

Cluster Headache in Childhood

Massimiliano Valeriani
2013-01-01

Abstract

childhood-onset cluster headache is an excruciatingly painful and distressing condition. a retrospective study was conducted on charts of patients referring to our headache center. those diagnosed as cluster headache were selected. we identified 11 children (6 males and 5 females). the mean age of cluster headache onset was 10 years (range: 5-16). all children had episodic cluster headache. all children had unilateral orbital pain; 7 patients had throbbing pain, whereas 4 children complained stabbing pain. the mean duration of the attack was 86 minutes (ranging from 30 to 180 minutes). the frequency of episodes was between 1 and 4 per day. all children had the typical cluster headache autonomic features, such as lacrimation, conjunctival injection, ptosis, and nostril rhinorrhea. steroids showed a good clinical efficacy in interrupting cluster headache recurrence. as symptomatic drugs, acetaminophen as well as ibuprofen were ineffective; indomethacin was effective in 1 case.
2013
Pubblicato
Rilevanza internazionale
Articolo
Esperti anonimi
Settore MED/39
English
autonomic
autonomic features
cluster headache
lacrimation
pain
ptosis
rhinorrhea
Mariani, R., Capuano, A., Torriero, R., Tarantino, S., Properzi, E., Vigevano, F., et al. (2013). Cluster Headache in Childhood. JOURNAL OF CHILD NEUROLOGY, 29(1) [10.1177/0883073812470735].
Mariani, R; Capuano, A; Torriero, R; Tarantino, S; Properzi, E; Vigevano, F; Valeriani, M
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/366663
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