Cluster headache (Horton's syndrome)
EBM Guidelines
Nov 15, 2021 • Completely updated
Table of contents
Extract
- Cluster headache consists of extremely severe, brief attacks of pain that may recur several times a day. The symptoms affect the patient’s working capacity and functional ability.
- Various studies have been performed on the efficacy of different products and forms of treatment used either for attacks or prophylactically. A plan for effective treatment should be drawn up by a neurologist with expertise in pain management.
Linked evidence summaries
- Subcutaneous sumatriptan is superior to intranasal zolmitriptan for rapid (15 minute) responses in the acute treatment of cluster headache.A
- Hyperbaric oxygen therapy (HBOT) may be effective for the termination of acute migraine, and normobaric oxygen therapy (NBOT) may be similarly effective in cluster headache.C
Search terms
Atenolol, Cephalalgia, Cluster Headache, Ergotamine, Facial Pain, G44.0, Headache, Horton's headache, Lithium, Neurology, Oxygen, Pain, Prednisone, Propranolol, R51.81, Sotalol, Sumatriptan, atypical facial pain, chronic paroxysmal hemicrania, prophylaxis, triptan, verapamil