McKenna J P
Medical Center, Beaver, Pennsylvania.
Am Fam Physician. 1988 Apr;37(4):173-8.
Cluster headaches are episodes of excruciating unilateral facial pain, typically occurring in young men. Ipsilateral autonomic symptoms of nasal congestion, rhinorrhea, conjunctival injection and lacrimation are commonly present. Characteristic facial features may be found. Migraine and trigeminal neuralgia are two important considerations in the differential diagnosis. Prednisone and lithium are effective prophylactic medications for episodic and chronic forms of cluster headaches. Treatment with oxygen or ergotamines may be useful in aborting attacks.
丛集性头痛是一种极为剧烈的单侧面部疼痛发作，通常发生在年轻男性身上。同侧常出现鼻塞、流涕、结膜充血和流泪等自主神经症状。可能会发现特征性的面部表现。偏头痛和三叉神经痛是鉴别诊断中的两个重要考虑因素。泼尼松和锂盐是发作性和慢性丛集性头痛的有效预防性药物。吸氧或使用麦角胺治疗可能有助于终止发作。
