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Cluster headache treatment dilemmas: the experts respond.

Authors
  • 1
Type
Published Article
Journal
Current pain and headache reports
Publication Date
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.

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