Difference between revisions of "Cluster headache physical examination"

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== Overview ==
 
== Overview ==
<br />
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Examination findings in cluster headache are usually autonomic related; suggesting parasympathetic hyperactivity and sympathetic impairment. Exam findings may include ptosis, lacrimation, conjuctival injection, miosis, nasal congestion, rhinorrhea, neck stiffness and photophobia.<br />
  
 
== Examination ==
 
== Examination ==
  
*[[Horner's syndrome]]:<ref>{{cite web | author=Graff JM, Lee AG | title=Horner's Syndrome (due to Cluster Headache): 46 y.o. man presenting with headache and ptosis. | url=http://webeye.ophth.uiowa.edu/eyeforum/cases/case22.htm | work=Ophthalmology Grand Rounds | date=February 21, 2005 |publisher=The University of Iowa | accessdate=2006-09-22}}</ref>  
+
*[[Horner's syndrome]]:<ref>{{cite web | author=Graff JM, Lee AG | title=Horner's Syndrome (due to Cluster Headache): 46 y.o. man presenting with headache and ptosis. | url=http://webeye.ophth.uiowa.edu/eyeforum/cases/case22.htm | work=Ophthalmology Grand Rounds | date=February 21, 2005 |publisher=The University of Iowa | accessdate=2006-09-22}}</ref>
*[[Ptosis (eyelid)|ptosis]] (drooping eyelids)
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*[[Ptosis (eyelid)|Ptosis]] (drooping eyelids)
*conjunctival injection (which results in red, watery eyes)
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*Conjunctival injection (which results in red, watery eyes)
*[[lacrimation]] (tearing)
+
*[[Lacrimation]] (tearing)
*[[miosis]] (constricted pupil)
+
*[[Miosis]] (constricted pupil)<ref name="pmid16686902">{{cite journal |vauthors=Drummond PD |title=Mechanisms of autonomic disturbance in the face during and between attacks of cluster headache |journal=Cephalalgia |volume=26 |issue=6 |pages=633–41 |date=June 2006 |pmid=16686902 |doi=10.1111/j.1468-2982.2006.01106.x |url=}}</ref>
*eyelid [[edema]]
+
*Eyelid [[edema]]<ref name="pmid7888747">{{cite journal |vauthors=Drummond PD |title=Sweating and vascular responses in the face: normal regulation and dysfunction in migraine, cluster headache and harlequin syndrome |journal=Clin. Auton. Res. |volume=4 |issue=5 |pages=273–85 |date=October 1994 |pmid=7888747 |doi=10.1007/BF01827433 |url=}}</ref>
*[[nasal congestion]]
+
*[[Nasal congestion]]
*[[rhinorrhea]] (runny nose)
+
*[[Rhinorrhea]] (runny nose)<ref name="pmid2245469">{{cite journal |vauthors=Ekbom K |title=Evaluation of clinical criteria for cluster headache with special reference to the classification of the International Headache Society |journal=Cephalalgia |volume=10 |issue=4 |pages=195–7 |date=August 1990 |pmid=2245469 |doi=10.1046/j.1468-2982.1990.1004195.x |url=}}</ref>
*[[sweating]] on the affected side of the face.
+
*[[Sweating]] on the affected side of the face.
 
*Neck stiffness
 
*Neck stiffness
 
*[[Photophobia]]  
 
*[[Photophobia]]  
  
 
<br />
 
<br />
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==References==
 
==References==
 
{{Reflist|2}}
 
{{Reflist|2}}

Latest revision as of 03:20, 26 May 2020

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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

Examination findings in cluster headache are usually autonomic related; suggesting parasympathetic hyperactivity and sympathetic impairment. Exam findings may include ptosis, lacrimation, conjuctival injection, miosis, nasal congestion, rhinorrhea, neck stiffness and photophobia.

Examination


References

  1. Graff JM, Lee AG (February 21, 2005). "Horner's Syndrome (due to Cluster Headache): 46 y.o. man presenting with headache and ptosis". Ophthalmology Grand Rounds. The University of Iowa. Retrieved 2006-09-22.
  2. Drummond PD (June 2006). "Mechanisms of autonomic disturbance in the face during and between attacks of cluster headache". Cephalalgia. 26 (6): 633–41. doi:10.1111/j.1468-2982.2006.01106.x. PMID 16686902.
  3. Drummond PD (October 1994). "Sweating and vascular responses in the face: normal regulation and dysfunction in migraine, cluster headache and harlequin syndrome". Clin. Auton. Res. 4 (5): 273–85. doi:10.1007/BF01827433. PMID 7888747.
  4. Ekbom K (August 1990). "Evaluation of clinical criteria for cluster headache with special reference to the classification of the International Headache Society". Cephalalgia. 10 (4): 195–7. doi:10.1046/j.1468-2982.1990.1004195.x. PMID 2245469.



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