Cluster headache differential diagnosis
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sabeeh Islam, MBBS[2]
Overview
Differential of cluster headache usually involves syndromes that manifest as unilateral headache, brief but frequent attacks. Such syndromes include the following: Chronic paroxysmal hemicrania (CPH) , Short-lasting unilateral neuralgiform headache attacks (SUNCT and SUNA), Trigeminal neuralgia, primary stabbing headache, and headache associated with an underlying intracranial lesion.
Differentiating Cluster Headache from other Diseases
Differential of cluster headache usually involves syndromes that manifest as unilateral headache, brief but frequent attacks. Such syndromes include the following:[1]
- Chronic paroxysmal hemicrania (CPH) is a condition similar to cluster headache, but CPH responds well to treatment with the anti-inflammatory drug indomethacin. With CPH, the attacks are much shorter, often lasting only seconds.[2]
- Short-lasting unilateral neuralgiform headache attacks (SUNCT and SUNA)
- Trigeminal neuralgia[3]
- Primary stabbing headache
- Headache associated with an underlying intracranial lesion[4]
- Intracranial large artery aneurysms
- Meningiomas
- Brain arteriovenous malformations
- Pituitary macroadenomas
- Recurrent nasopharyngeal carcinoma
- Metallic foreign body in the maxillary sinus
- Aspergilloma in sphenoid sinus
- Benign posterior fossa tumor
- Cavernous hemangioma
References
- ↑ Goadsby PJ, Lipton RB (January 1997). "A review of paroxysmal hemicranias, SUNCT syndrome and other short-lasting headaches with autonomic feature, including new cases". Brain. 120 ( Pt 1): 193–209. doi:10.1093/brain/120.1.193. PMID 9055807.
- ↑ NEURO/67 at eMedicine
- ↑ Goadsby PJ, Matharu MS, Boes CJ (March 2001). "SUNCT syndrome or trigeminal neuralgia with lacrimation". Cephalalgia. 21 (2): 82–3. doi:10.1046/j.1468-2982.2001.00175.x. PMID 11422087.
- ↑ Favier I, van Vliet JA, Roon KI, Witteveen RJ, Verschuuren JJ, Ferrari MD, Haan J (January 2007). "Trigeminal autonomic cephalgias due to structural lesions: a review of 31 cases". Arch. Neurol. 64 (1): 25–31. doi:10.1001/archneur.64.1.25. PMID 17210806.