Cluster headache physical examination: Difference between revisions
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*Conjunctival injection (which results in red, watery eyes) | *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 | ||
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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
- Horner's syndrome:[1]
- Ptosis (drooping eyelids)
- Conjunctival injection (which results in red, watery eyes)
- Lacrimation (tearing)
- Miosis (constricted pupil)[2]
- Eyelid edema[3]
- Nasal congestion
- Rhinorrhea (runny nose)[4]
- Sweating on the affected side of the face.
- Neck stiffness
- Photophobia
References
- ↑ 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.
- ↑ 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.
- ↑ 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.
- ↑ 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.