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Cluster headache in childhood: case series from a pediatric headache center.

Authors
  • Mariani, Rosanna
  • Capuano, Alessandro
  • Torriero, Roberto
  • Tarantino, Samuela
  • Properzi, Enrico
  • Vigevano, Federico
  • Valeriani, Massimiliano
Type
Published Article
Journal
Journal of Child Neurology
Publisher
SAGE Publications
Publication Date
Jan 01, 2014
Volume
29
Issue
1
Pages
62–65
Identifiers
DOI: 10.1177/0883073812470735
PMID: 23307881
Source
Medline
Keywords
License
Unknown

Abstract

Childhood-onset cluster headache is an excruciatingly painful and distressing condition. A retrospective study was conducted on charts of patients referring to our Headache Center. Those diagnosed as cluster headache were selected. We identified 11 children (6 males and 5 females). The mean age of cluster headache onset was 10 years (range: 5-16). All children had episodic cluster headache. All children had unilateral orbital pain; 7 patients had throbbing pain, whereas 4 children complained stabbing pain. The mean duration of the attack was 86 minutes (ranging from 30 to 180 minutes). The frequency of episodes was between 1 and 4 per day. All children had the typical cluster headache autonomic features, such as lacrimation, conjunctival injection, ptosis, and nostril rhinorrhea. Steroids showed a good clinical efficacy in interrupting cluster headache recurrence. As symptomatic drugs, acetaminophen as well as ibuprofen were ineffective; indomethacin was effective in 1 case.

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