Cluster headache differential diagnosis
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sabeeh Islam, MBBS[2]
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.