By William G. Speed III (auth.), Ninan T. Mathew M.D. (eds.)
This publication constitutes a compilation and integration of the newest advances within the administration of cluster complications. It encompasses the paintings of 9 specialists within the box of headache within the U.S. and offers a radical and complete view of the topic. many of the individuals on the symposium have spent years learning cluster headache and its editions. They current numerous conceptions in a complete demeanour. it truly is believed that the generalist, neurolo gist, or different clinical professional desirous about the therapy of this hard syndrome will derive diagnostic and healing perception into its administration. The sufferers looking support and realizing in their may be the final beneficiaries of its info. SEYMOUR DIAMOND, M.D. March, 1984 Preface The previous decade has witnessed a surge of curiosity within the box of headache and similar issues. although the pathophysiology and pathogenesis of fundamental headache problems are nonetheless poorly un derstood, fresh medical and healing observations have enormously contributed to development of sufferer care within the headache box. Headache clinics focusing on the prognosis and accomplished administration of complications, now on hand in so much significant towns, have additionally helped within the development of sufferer care and research.
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Extra info for Cluster Headache
Therefore, this topic is not discussed. The associated manifestations of cluster headache are thought to be secondary to involvement of the autonomic nervous system, either centrally or peripherally. " These autonomic signs are summarized in Table 1. These manifestations are discussed individually with regard to their incidence and relevant clinical features. Pathogenesis is discussed separately. Conjunctival Injection and Lacrimation These two symptoms occur simultaneously most often and therefore will be discussed together.
Another interesting observation is that these manifestations occur only during the cluster periods and may even disappear between each individual headaches. Often patients overlook these changes and have to be instructed to look for them during the headache. These may become evident only after the headaches have been occurring for a few few days. In some patients these changes outlast the cluster episodes and sometimes remain permanently. Mydriasis, Facial Hyperhidrosis and Facial Flushing Mydriasis during a cluster headache has been mentioned in individual case reports on rare occasions9 .
20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 29 Lieb J, Zeff A: Lithium treatment of chronic cluster headaches. Br J Psy- chiLJt 1978; 133:556-558. Mendels J, Chemik DA: The effect of lithium carbonate on the sleep of depressed patients. Int Phar11UJco-PsychiLJt 1978; 8:184-192. Kupfer DJ, Wyatt RJ, Greenspan K, Scott J, Snyder F: Lithium carbonate and sleep in affective illness. Arch Gen PsychiLJt 1970; 23: 35-40. Ekbom K: Lithium in the treatment of chronic cluster headache.
Cluster Headache by William G. Speed III (auth.), Ninan T. Mathew M.D. (eds.)