Department of Neurosurgery, McGovern Medical School at UTHealth Houston, Houston, TX, USA.
Veteran Health Administration Headache Center of Excellence, Veterans Affairs Connecticut Healthcare System, West Haven, CT, USA.
Curr Neurol Neurosci Rep. 2024 Sep;24(9):439-452. doi: 10.1007/s11910-024-01362-x. Epub 2024 Jul 17.
What should a provider know about medications and other treatments in patients with cluster headache who have medical, psychiatric, and surgical comorbidities? What conversations should providers have with patients about living with and managing cluster headache?
While the number of treatments used in cluster headache is relatively small, numerous considerations were identified related to managing patients with comorbidities. Many of these touch on cardiac, cardiovascular, and cerebrovascular health, but full histories are needed to guide safe and effective treatment. Both older and newer treatments may be contraindicated in certain patients with cluster headache or should be considered carefully. In addition to incorporating medical, psychiatric, and surgical histories in the management plan, collaboration with other providers may be beneficial. Providers should also inquire about patient practices and discuss participation in clinical trials that might be a good fit for the individual.
在患有合并症的丛集性头痛患者中，提供者应该了解哪些药物和其他治疗方法？提供者应该与患者进行哪些关于丛集性头痛的生活和管理的对话？
虽然丛集性头痛中使用的治疗方法数量相对较少，但在管理合并症患者方面发现了许多需要考虑的问题。其中许多涉及心脏、心血管和脑血管健康，但需要完整的病史来指导安全有效的治疗。旧的和新的治疗方法在某些丛集性头痛患者中可能有禁忌，或者需要谨慎考虑。除了在管理计划中纳入医疗、精神和手术病史外，与其他提供者的合作可能也有益处。提供者还应该询问患者的实践情况，并讨论适合个人的临床试验参与情况。
