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Cluster headache, familial

MedGen UID:
350040
Concept ID:
C1861513
Disease or Syndrome
Synonym: Cluster Headache, Familial
 
Monarch Initiative: MONDO:0007344
OMIM®: 119915

Definition

The Headache Classification Committee of the International Headache Society (1988) listed the following criteria for cluster headache (CH): at least 5 attacks of severe unilateral orbital, supraorbital, and/or temporal pain, lasting 15 to 180 minutes, associated with at least 1 of 8 local autonomic signs, and occurring once every other day to 8 per day. Approximately 85% of CH patients have the episodic subtype, in which the headaches occur in cluster periods lasting from 7 days to 1 year and separated by attack-free intervals of 1 month or more. The remainder of patients have the chronic subtype, in which attacks recur for greater than 1 year without remission or with remissions lasting less than 1 month (Lipton et al., 2004). [from OMIM]

Clinical features

From HPO
Pain
MedGen UID:
45282
Concept ID:
C0030193
Sign or Symptom
An unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage.
Cluster headache
MedGen UID:
3503
Concept ID:
C0009088
Disease or Syndrome
A type of headache characterized by repeated attacks of unilateral pain lasting 15 to 180 minutes and associated with local autonomic signs.
Agitation
MedGen UID:
88447
Concept ID:
C0085631
Sign or Symptom
A state of extreme restlessness and excessive motor activity is associated with mental distress or a feeling of inner tension.
Rhinorrhea
MedGen UID:
226777
Concept ID:
C1260880
Sign or Symptom
Increased discharge of mucus from the nose.
Edema
MedGen UID:
4451
Concept ID:
C0013604
Pathologic Function
An abnormal accumulation of fluid beneath the skin, or in one or more cavities of the body.
Hyperhidrosis
MedGen UID:
5690
Concept ID:
C0020458
Finding
Abnormal excessive perspiration (sweating) despite the lack of appropriate stimuli like hot and humid weather.
Ptosis
MedGen UID:
2287
Concept ID:
C0005745
Disease or Syndrome
The upper eyelid margin is positioned 3 mm or more lower than usual and covers the superior portion of the iris (objective); or, the upper lid margin obscures at least part of the pupil (subjective).
Miosis
MedGen UID:
6409
Concept ID:
C0026205
Disease or Syndrome
Abnormal (non-physiological) constriction of the pupil.

Recent clinical studies

Etiology

O'Connor E, Nikram E, Grangeon L, Danno D, Houlden H, Matharu M
Cephalalgia 2022 Jul;42(8):715-721. Epub 2022 Feb 15 doi: 10.1177/03331024221076478. PMID: 35166160Free PMC Article
O'Connor E, Simpson BS, Houlden H, Vandrovcova J, Matharu M
J Headache Pain 2020 Apr 25;21(1):37. doi: 10.1186/s10194-020-01101-w. PMID: 32334514Free PMC Article

Diagnosis

O'Connor E, Simpson BS, Houlden H, Vandrovcova J, Matharu M
J Headache Pain 2020 Apr 25;21(1):37. doi: 10.1186/s10194-020-01101-w. PMID: 32334514Free PMC Article

Clinical prediction guides

Waung MW, Taylor A, Qualmann KJ, Burish MJ
JAMA Neurol 2020 Jul 1;77(7):887-896. doi: 10.1001/jamaneurol.2020.0682. PMID: 32310255Free PMC Article

Recent systematic reviews

O'Connor E, Simpson BS, Houlden H, Vandrovcova J, Matharu M
J Headache Pain 2020 Apr 25;21(1):37. doi: 10.1186/s10194-020-01101-w. PMID: 32334514Free PMC Article
Waung MW, Taylor A, Qualmann KJ, Burish MJ
JAMA Neurol 2020 Jul 1;77(7):887-896. doi: 10.1001/jamaneurol.2020.0682. PMID: 32310255Free PMC Article

Supplemental Content

Table of contents

    Clinical resources

    Practice guidelines

    Curated

    • NICE, 2021
      UK NICE Guideline CG150, Headaches in over 12s: diagnosis and management, 2021

    Consumer resources

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