Sjaastad O, de Souza Carvalho D, Zhao J M
Department of Neurology, Regionsykehuset i Trondheim, Norway.
Cephalalgia. 1988 Jun;8(2):121-6. doi: 10.1046/j.1468-2982.1988.0802121.x.
Three cases of what could be considered "mild" cluster headache have been described. All three patients were generally able to carry out their work during attacks; all three were men and had unilateral headache with the predominant pain in the ocular region. Relatively few symptoms and signs indicated autonomic system involvement, but at least tearing was invariably present on the symptomatic side. The bouts were generally short-lasting in two of the patients (and partly in the third one), fitting the pattern of "mini-bouts". Thus, in one of the cases four of the five major criteria (male sex, excruciating severity, cluster phenomenon, autonomic involvement, and unilaterality) were present. In the two other patients the full-blown cluster phenomenon was lacking. Such cases may represent the left-side slope of a "Gaussian severity distribution scale" with regard to cluster headache.
本文描述了三例可被视为“轻度”丛集性头痛的病例。所有三名患者在发作期间一般都能继续工作；三名患者均为男性，均有单侧头痛，主要疼痛部位在眼部区域。提示自主神经系统受累的症状和体征相对较少，但至少患侧总是有流泪症状。其中两名患者（第三名患者部分符合）的发作通常持续时间较短，符合“迷你发作”模式。因此，在其中一例中，五个主要标准（男性、剧痛程度、丛集现象、自主神经受累和单侧性）中有四个存在。另外两名患者则缺乏典型的丛集现象。就丛集性头痛而言，此类病例可能代表“高斯严重程度分布量表”的左侧斜率。
