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==Cluster Headache==
Jaspinder Kaur MBBS


{{SK}} Ciliary Neuralgia; neuralgic migraine; histamine cephalgia; horton syndrome; chronic cluster headache; episodic cluster headache; atypical cluster headache; vasogenic facial pain
==Education==


===Overview===
*Medical School: Dayanand Medical College & Hospital (DMC&H), Ludhiana, Punjab, India


''Cluster headache'' is a rare disorder typically associated with the <u>excruciating, unilateral and periorbital</u> painful episodes lasting for few minutes to hours. It might be accompanied with facial autonomic symptoms, restlessness and [[migraine]] like aura symptoms in approximately 23% of patients. It classically occur in '''young men''' 20–40 years of age with the male-to-female ratio of 5:1. <ref>{{cite journal|doi=10.1036/007149913X}}</ref>. A [[family history]] of similar headaches is uncommon.
==Current Position==


===Clinical Symptoms===
*Medical Officer/physician for Indian veterans at ECHS Polyclinic, Kapurthala, India
*Associate Editor-in-Chief at WikiDoc Foundation (WikiDoc.org)


*The cardinal feature is '''periodicity'''. Headaches occur '''many times daily''' at '''distinct times''' over several weeks; onset with sleep is especially characteristic.
==Clinical Observerships in the USA==
*Clusters spontaneously remit for months to years before recurring, typically at the same time of year as previous attacks. '''Alcohol''' is a classic trigger.
*Icahn School of Medicine at Mount Sinai Services-Queens Hospital Center, Jamaica, NY, USA in the department of endocrinology
*''Cluster headaches'' do not have auras (vs. migraines). A typical attack is characterized by abrupt-onset, severe '''unilateral periorbital pain''' with associated '''ipsilateral autonomic symptoms''' (tearing of the eye and nares; rarely Horner’s). Headaches typically last 30–120 minutes.<ref>{{cite journal|doi=10.1036/007149913X}}</ref>
*Aventura Hospital and Medical Center, Aventura, Florida, USA in the department of gastroenterology
*University of Miami/ Holy Cross Hospital, Fort Lauderdale, FL, USA in the department of cardiology
*Kendall Regional Medical Center, Miami, FL, USA in the department of cardiology, primary care and coumadin clinic
*East State Tennessee University, Johnson City, TN, USA in the department of cardiology


===Physical Examination===
==Peer-reviewed Publications==
*Kaur Jaspinder, Kumar Dileep, Alfishawy Mostafa, Lopez Ricardo, Sachmechi Issac. Paliperidone Inducing concomitantly Syndrome of Inappropriate Antidiuretic Hormone, Neuroleptic Malignant Syndrome and rhabdomyolysis: A Case Report. Case Report in Critical Care. Volume 2016, Article ID 2587963, 3 pages. PMID: 27721999.
*Kaur Jaspinder, Chavez Luis, Sachmechi Issac, Kim Paul. Teriparatide prevented near atypical femur fracture by reducing cortical thickening in a symptomatic patient with prolong use of oral bisphosphonate. J Endocrinol Metab. 2016; 6(6):183-186. doi: https://doi.org/10.14740/jem382w
*Viki Kumar, Kaur Jaspinder, Pallavi Pothuri, Sahiba Bandagi. Atypical Trigeminal Neuralgia: A rare neurological manifestation of Systemic Lupus Erythematosus. Am J Case Rep. 2017; 18: 42–45. PMID: 28077839.
*Kaur Jaspinder. A Comprehensive Review on Metabolic Syndrome. Cardiology research and review. 2014 Mar; 2014(2014): 1-21. PMID: 24711954
*Kaur Jaspinder, Nourabadi Soheila, Chavez Luis, Sachmechi Issac. A concise review on hypophosphatasia with a case report. International Journal of Medicine. 2016; 4(2): 39-45. DOI: 10.14419/ijm.v4i2.6397
*Kaur Jaspinder. An Overview of Diabetic Neuropathy. Annual Review and Research in Biology. 2013 Oct; 3(4): 994-1012.
*Kaur Jaspinder. Influence of Dietary Habits on Health Risk Factors. Research Journal of Biology. 2014 May; 2(1): 43-48.
*Kaur Jaspinder. Assessment and Screening of the Risk Factors in Metabolic Syndrome. Medical sciences. 2014 Jul; 2(3): 140-152. doi:10.3390/medsci2030140
*Kaur Jaspinder. Use of friedewald equation for dyslipidemia in Metabolic Syndrome. International Journal of Medicine. 2014 May; 2(1): 36-39. DOI: 10.14419/ijm.v2i1.2370
*Kaur Jaspinder. Family history: a vital predictor of cardiovascular health. International Journal of Health. 2014 May; 2(1): 17-21. DOI: 10.14419/ijh.v2i1.2402
*Kaur Jaspinder, Kaur Kawaljit. Does an Antenatal Care make a difference? Human Biology Review. 2013 Apr; 2(2): 120-135.
*Kaur Jaspinder, Kaur Kawaljit. A case report: Unsafe Abortion. International Journal of Medical Science and Public Health. 2013 Jan; 2(1): 156-158. doi: 10.5455/ijmsph.2013.2.156-158
*Kaur Jaspinder, Kaur Kawaljit. Conditions behind fetal distress. Annals of Biological Research. 2012 Oct; 3(10): 4845-4851.
*Kaur Jaspinder, Kaur Kawaljit. Obstetric complications: Primiparity Vs. Multiparity. European Journal of Experimental Biology. 2012 Sep; 2(5): 1462-1468.
*Kaur Jaspinder, Kaur Mandeep. Effects of Sleep Deprivation on the Cardiovascular Health. International Neuropsychiatric Disease Journal. 2014 Jun; 2(6): 244-254. DOI:  https://doi.org/10.9734/INDJ/2014/10848
*Kaur Jaspinder, Singh Sargun, Kaur Kawaljit. Prevalence and Effects of Various Risk Factors Influencing the Blood Pressure Values. Cardiology and Angiology: An International Journal. 2014 Jul; 2(3): 118-133. DOI:  https://doi.org/10.9734/CA/2014/9863
*Kaur Jaspinder, Singh Sargun, Kaur Kawaljit. Sex Related Assessment and Differentiation of Atherogenic Risk Factors. International Blood Research & Reviews. 2014 Sep; 2(5): 247-261. DOI : 10.9734/IBRR/2014/11306
*Kaur Jaspinder, Singh Sargun, Kaur Kawaljit. Determinants of glycemic status and its relationship with cardiovascular risk factors. Journal of Biochemical and Pharmacological Research. 2014 Sep; 2(3): 159-166.
*Kaur Jaspinder, Singh Sargun, Kaur Kawaljit. Current trend of Caesarean Sections and Vaginal Births. Advances in Applied Science Research. 2013 Sep; 4(4): 196-202.
*Kaur Jaspinder, Singh Sargun, Kaur Kawaljit. Prevalence rate of signs and symptoms in pregnancy. Human Biology Review. 2013 Oct; 2(4): 373-388.
*Kaur Jaspinder, Singh Sargun, Kaur Kawaljit. Impact of Age on the prevalence of chronic diseases in Geriatric population. International Research Journal of Biological Sciences. 2014 Sept; 3(9): 79-85.
*Kaur Pushappreet, Kaur Jaspinder. Oronasal Fistula and Complete Edentulism: What to Do? Dentistry Journal. 2014; 2(4):142-154. https://doi.org/10.3390/dj2040142
*Kaur Jaspinder, Kaur Mandeep. Relation of Sedentary Lifestyle with Cardiovascular Parameters in Primary Care Patients. Journal of cardiovascular Disease. 2015; 3(1): 294-300.
*Kaur Jaspinder, Singh Sargun, Kaur Kawaljit. Prevalence and Associated Comorbidities of Body Mass Index Ranges. International Journal of Medicine. 2015; 3(1): 16-21. DOI: 10.14419/ijm.v3i1.4294


*Patients are restless and agitated, often pacing the room (vs. migraine patients).
==Authored Pages==
*Look for tearing, nasal discharge, and/or ptosis (e.g., '''Horner’s''') ipsilateral to the location of eye pain.<ref>{{cite journal|doi=10.1036/007149913X}}</ref>


===Differential Diagnosis===
*[[Decompression sickness|Decompression sickness]]
*[[Choanal atresia|Choanal atresia]]


Other headache syndromes, including migraine and '''chronic paroxysmal hemicrania''', which has similar symptoms, but with multiple (20–40) daily attacks lasting 5–10 minutes each and no periodicity (exquisitely sensitive to '''indomethacin''').<ref>{{cite journal|doi=10.1036/007149913X}}</ref>
==Contact==


{| class="wikitable" style="text-align:center"
*Email: mailtojaspinder@yahoo.in


|-
==Professional Memberships==
 
*Punjab Medical Council
! style="background:#4479BA; color: #FFFFFF;" |
*ResearchGate:Jaspinder Kaur https://www.researchgate.net
 
*Publons: Jaspinder Kaur https://publons.com
! style="background:#4479BA; color: #FFFFFF;" | Migraine
 
! style="background:#4479BA; color: #FFFFFF;" | Cluster Headache
 
|-
 
| style="background:#DCDCDC;" align="center" | Typical patient
 
| Young woman
 
| Young man
 
|-
 
| style="background:#DCDCDC;" align="center" | Triggered by alcohol
 
| No
 
| Yes
 
|-
 
| style="background:#DCDCDC;" align="center" | Periodicity
 
| No
 
| Yes
 
|-
 
| style="background:#DCDCDC;" align="center" | Aura
 
| Yes (with classic form)
 
| No
 
|-
 
| style="background:#DCDCDC;" align="center" | Autonomic symptoms
 
| No
 
| Yes
 
|-
 
| style="background:#DCDCDC;" align="center" | Response to O<sub>2</sub>
 
| No
 
| Yes
 
|}
 
===Treatment===
*'''''Prophylactic therapy'''''
**It is started once cluster headaches begin but are not used during remissions given that months to years may elapse between clusters. Such medications include '''verapamil''' (first-line prophylactic treatment for cluster headache), '''prednisone''' (a taper of oral steroids is often used at the beginning of a cluster), lithium, valproate, and methysergide. <ref>{{cite journal|doi=10.1036/007149913X}}</ref>
 
*'''''Abortive therapy'''''
**'''O2 inhalation''': Give 5–10 L/min for 10–15 minutes.
**'''Intranasal lidocaine ointment''': Produces a block of the sphenopalatine ganglion and aborts the headache.
**'''Triptans''': Also useful for acute attacks.<ref>{{cite journal|doi=10.1036/007149913X}}</ref>
 
{{familytree/start}}
{{familytree | | | | | | | | |A01| | | | | |A01=Cluster Headache Acute treatment}}
{{familytree | | | | | | | | | |!| | | | | | | | }}
{{familytree | |,|-|-|-|v|-|-|-|+|-|-|-|v|-|-|-|.| | }}
{{familytree | |!| | | |!| | | |!| | | |!| | | |!| | | }}
{{familytree | B01 | | B02 | | B03 | | B04 | | B05 |B01=Sumatriptan subcutaneous injection|B02=Zolmitriptan nasal spray|B03=Sumatriptan nasal spray|B04=Oxygen|B05=non invasive vagus nerve stimulator}}
{{familytree/end}}<ref name="urlManaging cluster headache | Practical Neurology">{{cite web |url=http://dx.doi.org/10.1136/practneurol-2018-002124 |title=Managing cluster headache &#124; Practical Neurology |format= |work= |accessdate=}}</ref>
 
===References===

Revision as of 15:28, 31 August 2020

Jaspinder Kaur MBBS

Education

  • Medical School: Dayanand Medical College & Hospital (DMC&H), Ludhiana, Punjab, India

Current Position

  • Medical Officer/physician for Indian veterans at ECHS Polyclinic, Kapurthala, India
  • Associate Editor-in-Chief at WikiDoc Foundation (WikiDoc.org)

Clinical Observerships in the USA

  • Icahn School of Medicine at Mount Sinai Services-Queens Hospital Center, Jamaica, NY, USA in the department of endocrinology
  • Aventura Hospital and Medical Center, Aventura, Florida, USA in the department of gastroenterology
  • University of Miami/ Holy Cross Hospital, Fort Lauderdale, FL, USA in the department of cardiology
  • Kendall Regional Medical Center, Miami, FL, USA in the department of cardiology, primary care and coumadin clinic
  • East State Tennessee University, Johnson City, TN, USA in the department of cardiology

Peer-reviewed Publications

  • Kaur Jaspinder, Kumar Dileep, Alfishawy Mostafa, Lopez Ricardo, Sachmechi Issac. Paliperidone Inducing concomitantly Syndrome of Inappropriate Antidiuretic Hormone, Neuroleptic Malignant Syndrome and rhabdomyolysis: A Case Report. Case Report in Critical Care. Volume 2016, Article ID 2587963, 3 pages. PMID: 27721999.
  • Kaur Jaspinder, Chavez Luis, Sachmechi Issac, Kim Paul. Teriparatide prevented near atypical femur fracture by reducing cortical thickening in a symptomatic patient with prolong use of oral bisphosphonate. J Endocrinol Metab. 2016; 6(6):183-186. doi: https://doi.org/10.14740/jem382w
  • Viki Kumar, Kaur Jaspinder, Pallavi Pothuri, Sahiba Bandagi. Atypical Trigeminal Neuralgia: A rare neurological manifestation of Systemic Lupus Erythematosus. Am J Case Rep. 2017; 18: 42–45. PMID: 28077839.
  • Kaur Jaspinder. A Comprehensive Review on Metabolic Syndrome. Cardiology research and review. 2014 Mar; 2014(2014): 1-21. PMID: 24711954
  • Kaur Jaspinder, Nourabadi Soheila, Chavez Luis, Sachmechi Issac. A concise review on hypophosphatasia with a case report. International Journal of Medicine. 2016; 4(2): 39-45. DOI: 10.14419/ijm.v4i2.6397
  • Kaur Jaspinder. An Overview of Diabetic Neuropathy. Annual Review and Research in Biology. 2013 Oct; 3(4): 994-1012.
  • Kaur Jaspinder. Influence of Dietary Habits on Health Risk Factors. Research Journal of Biology. 2014 May; 2(1): 43-48.
  • Kaur Jaspinder. Assessment and Screening of the Risk Factors in Metabolic Syndrome. Medical sciences. 2014 Jul; 2(3): 140-152. doi:10.3390/medsci2030140
  • Kaur Jaspinder. Use of friedewald equation for dyslipidemia in Metabolic Syndrome. International Journal of Medicine. 2014 May; 2(1): 36-39. DOI: 10.14419/ijm.v2i1.2370
  • Kaur Jaspinder. Family history: a vital predictor of cardiovascular health. International Journal of Health. 2014 May; 2(1): 17-21. DOI: 10.14419/ijh.v2i1.2402
  • Kaur Jaspinder, Kaur Kawaljit. Does an Antenatal Care make a difference? Human Biology Review. 2013 Apr; 2(2): 120-135.
  • Kaur Jaspinder, Kaur Kawaljit. A case report: Unsafe Abortion. International Journal of Medical Science and Public Health. 2013 Jan; 2(1): 156-158. doi: 10.5455/ijmsph.2013.2.156-158
  • Kaur Jaspinder, Kaur Kawaljit. Conditions behind fetal distress. Annals of Biological Research. 2012 Oct; 3(10): 4845-4851.
  • Kaur Jaspinder, Kaur Kawaljit. Obstetric complications: Primiparity Vs. Multiparity. European Journal of Experimental Biology. 2012 Sep; 2(5): 1462-1468.
  • Kaur Jaspinder, Kaur Mandeep. Effects of Sleep Deprivation on the Cardiovascular Health. International Neuropsychiatric Disease Journal. 2014 Jun; 2(6): 244-254. DOI: https://doi.org/10.9734/INDJ/2014/10848
  • Kaur Jaspinder, Singh Sargun, Kaur Kawaljit. Prevalence and Effects of Various Risk Factors Influencing the Blood Pressure Values. Cardiology and Angiology: An International Journal. 2014 Jul; 2(3): 118-133. DOI: https://doi.org/10.9734/CA/2014/9863
  • Kaur Jaspinder, Singh Sargun, Kaur Kawaljit. Sex Related Assessment and Differentiation of Atherogenic Risk Factors. International Blood Research & Reviews. 2014 Sep; 2(5): 247-261. DOI : 10.9734/IBRR/2014/11306
  • Kaur Jaspinder, Singh Sargun, Kaur Kawaljit. Determinants of glycemic status and its relationship with cardiovascular risk factors. Journal of Biochemical and Pharmacological Research. 2014 Sep; 2(3): 159-166.
  • Kaur Jaspinder, Singh Sargun, Kaur Kawaljit. Current trend of Caesarean Sections and Vaginal Births. Advances in Applied Science Research. 2013 Sep; 4(4): 196-202.
  • Kaur Jaspinder, Singh Sargun, Kaur Kawaljit. Prevalence rate of signs and symptoms in pregnancy. Human Biology Review. 2013 Oct; 2(4): 373-388.
  • Kaur Jaspinder, Singh Sargun, Kaur Kawaljit. Impact of Age on the prevalence of chronic diseases in Geriatric population. International Research Journal of Biological Sciences. 2014 Sept; 3(9): 79-85.
  • Kaur Pushappreet, Kaur Jaspinder. Oronasal Fistula and Complete Edentulism: What to Do? Dentistry Journal. 2014; 2(4):142-154. https://doi.org/10.3390/dj2040142
  • Kaur Jaspinder, Kaur Mandeep. Relation of Sedentary Lifestyle with Cardiovascular Parameters in Primary Care Patients. Journal of cardiovascular Disease. 2015; 3(1): 294-300.
  • Kaur Jaspinder, Singh Sargun, Kaur Kawaljit. Prevalence and Associated Comorbidities of Body Mass Index Ranges. International Journal of Medicine. 2015; 3(1): 16-21. DOI: 10.14419/ijm.v3i1.4294

Authored Pages

Contact

  • Email: mailtojaspinder@yahoo.in

Professional Memberships

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