Hannerz J, Greitz D
Department of Neurology, Karolinska Hospital, Stockholm, Sweden.
Headache. 1992 Oct;32(9):436-8. doi: 10.1111/j.1526-4610.1992.hed3209436_a.x.
Six patients with episodic cluster headache were investigated as to blood pressure, heart rate, cerebrospinal fluid pressure (Pcsf) and frontal vein pressure (Pvf) during five nitroglycerin (NG) provoked attacks and one spontaneous attack. In a seventh studied patient the NG failed to provoke an attack. The earlier reported decrease of systolic blood pressure and increase of diastolic blood pressure and heart rate after NG administration were also found in these patients. The "dynamite headache" was related to the start and duration of an increase of the cerebrospinal fluid pressure. There was no relationship between the start or the maximum pain of the cluster headache attack and changes in Pcsf or Pvf. On breathing oxygen during a cluster headache attack, there was a decrease of Pcsf but in some patients a temporary increase of Pvf was observed, which possibly indicates that oxygen simultaneously attains constriction of arteries and veins.
对6例发作性丛集性头痛患者在5次硝酸甘油（NG）诱发发作和1次自发发作期间进行了血压、心率、脑脊液压力（Pcsf）和额静脉压力（Pvf）的研究。在第7例研究患者中，NG未能诱发发作。这些患者也出现了先前报道的NG给药后收缩压降低、舒张压和心率升高的情况。“爆炸性头痛”与脑脊液压力升高的开始和持续时间有关。丛集性头痛发作的开始或最大疼痛与Pcsf或Pvf的变化之间没有关系。在丛集性头痛发作期间呼吸氧气时，Pcsf降低，但在一些患者中观察到Pvf暂时升高，这可能表明氧气同时导致动脉和静脉收缩。
