Jürgens T P, May A
Institut für Systemische Neurowissenschaften und Kopfschmerzambulanz der Neurologischen Klinik, Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Deutschland.
Schmerz. 2010 Jun;24(3):221-5. doi: 10.1007/s00482-010-0925-z.
Chronic cluster headache is a devastating pain condition where invasive methods such as occipital or deep brain stimulation are discussed when the condition is medically intractable. These methods are expensive but may well be economically reasonable if medications such as triptans can be reduced. However, little is known about how much a cluster headache costs, even if only primary parameters such as costs of medication, doctors and diagnostics are considered. We describe a patient with a secondary chronic cluster headache who over the course of 10 years prospectively recorded every single attack as well as all expenses for his condition. In these 10 years he suffered a total of 5,447 attacks and the overall medical expenses amounted to 60,667 EUR, the predominant part of which was caused by costs due to the cluster headache itself (47,030 EUR, 77.5%). The inhalation of oxygen accounted for the lion's share.
慢性丛集性头痛是一种严重的疼痛疾病，当药物治疗难以控制病情时，会考虑采用如枕部刺激或深部脑刺激等侵入性方法。这些方法费用高昂，但如果能减少使用曲坦类药物等，从经济角度看可能是合理的。然而，即使仅考虑药物、医生诊疗和诊断等主要参数，对于丛集性头痛的花费情况仍知之甚少。我们描述了一位继发性慢性丛集性头痛患者，他在10年期间前瞻性地记录了每一次发作以及治疗该病的所有费用。在这10年里，他总共发作了5447次，总医疗费用达60667欧元，其中主要部分是由丛集性头痛本身导致的费用（47030欧元，占77.5%）。吸氧费用占了绝大部分。
