Affordable Access

Cluster headache treatment dilemmas: the experts respond.

Authors
  • Loder, Elizabeth1
  • Rizzoli, Paul
  • McGeeney, Brian
  • Ward, Thomas
  • Levin, Morris
  • Shapiro, Robert E
  • Tepper, Stewart
  • Newman, Larry
  • Sheftell, Fred
  • Rapoport, Alan
  • Markley, Herbert
Type
Published Article
Journal
Current pain and headache reports
Publication Date
Apr 01, 2007
Volume
11
Issue
2
Pages
141–147
Identifiers
PMID: 17367594
Source
Medline
License
Unknown

Abstract

When conventional treatment approaches to cluster headache are unsuccessful, expert recommendations are relevant but may not be easily accessible to treating clinicians. We conducted a study of expert recommendations in response to standardized vignettes. Ten expert headache clinicians were asked what treatment they would recommend for a hypothetical 55-year-old male cluster headache patient in the following five situations: 1) known coronary artery disease with response only to sumatriptan; 2) strictly unilateral headaches unresponsive to preventive treatment; 3) effective abortive treatment not covered by insurance; 4) patient request to obtain methysergide from Canada; and 5) headaches responsive only to steroid treatment.

Report this publication

Statistics

Seen <100 times