Tfelt-Hansen Peer, Jensen Rigmor Højland
Amtssygehuset i Glostrup, Dansk Hovedpinecenter, Neurologisk Afdeling, Glostrup.
Ugeskr Laeger. 2006 Dec 11;168(50):4417-22.
A cluster headache is an attack of half-sided very strong pain in or behind an eye, lasting for up to a few hours with tearing and rhinorrhea and sometimes Horner's syndrome. The attacks occur in clusters of weeks' to some months' duration. A cluster headache is a neurovascular primary headache which seems to involve the hypothalamus. The clinical picture, diagnosis and investigations are reviewed. The attack can be treated with oxygen or subcutaneous sumatriptan, and verapamil, ergotamine and prednisolone can be successfully used for prophylaxis. Early diagnosis and specific treatment are emphazised.
丛集性头痛是一种发生在单侧眼睛内部或后方的极为强烈的疼痛发作，持续长达数小时，伴有流泪和流涕，有时还会出现霍纳综合征。发作呈丛集性，持续数周至数月。丛集性头痛是一种神经血管性原发性头痛，似乎涉及下丘脑。本文综述了其临床表现、诊断和检查。发作时可采用吸氧或皮下注射舒马曲坦进行治疗，维拉帕米、麦角胺和泼尼松龙可成功用于预防。强调早期诊断和特异性治疗。
