J Oral Facial Pain Headache. 2019 Fall;33(4):408–412. doi: 10.11607/ofph.2175. Epub 2019 Jun 24.
Cluster headache (CH) is a primary headache disorder characterized by unilateral headache attacks lasting 15 to 180 minutes, occurring between two and eight times a day, and accompanied by autonomic symptoms ipsilateral to the pain. However, cases of symptomatic CH that occur secondary to an underlying structural pathology have also been reported in the literature. In this report, seven patients are presented who were admitted with signs of CH and diagnosed with acute rhinosinusitis depending on extensive clinical and radiologic examinations. Symptomatic CH, though rarely reported in the literature compared to CH, should be kept in mind in patients presenting with the first attack of CH. Moreover, in such patients, whether the pain becomes worse when bending forward and becomes sensitive on palpation should be questioned, and a radiologic work-up should be performed to rule out secondary causes such as rhinosinusitis. In the present cases, the resolution of CH attacks with acute sinusitis therapy confirmed the diagnosis.
集群性头痛（CH）是一种原发性头痛疾病，其特征为单侧头痛发作，持续 15 至 180 分钟，每天发作 2 至 8 次，并伴有疼痛同侧的自主神经症状。然而，文献中也有报道称，继发于潜在结构性病变的症状性 CH 病例。在本报告中，介绍了 7 名因出现 CH 迹象并根据广泛的临床和影像学检查诊断为急性鼻窦炎而入院的患者。与 CH 相比，症状性 CH 在文献中报道得较少，但在首次出现 CH 发作的患者中应予以注意。此外，对于此类患者，应询问其在向前弯曲时疼痛是否加重以及触诊时是否敏感，并应进行影像学检查以排除鼻窦炎等继发性原因。在本病例中，急性鼻窦炎治疗后 CH 发作的缓解证实了诊断。
