Disease / / June 16, 2016
- Clinic cluster headache
- Diagnostics headache
- Therapy with cluster headache
- Prevention of this disease
Everyone is familiar with a headache, but there is also a special kind of painsensations - cluster pain that occurs in smokers and men with a strong physique.The first attacks may occur at the age of 20-60 years.Among women, this pathology is rare.
Clinic cluster headache
Intense pain with fulminant character develops first in one eye, and then it radiates to the temples, forehead or ear.Pain is accompanied by autonomic disorders, eg, lacrimation, sweating forehead and nasal congestion and redness of the face by a rush of blood.There may be a century ptosis, pupillary or enophthalmos.
Headache has the ability to grow, causing considerable anxiety in the patient until the emergence of suicidal thoughts.Cluster pain is caused by periodic bouts of 15 minutes, 1, 5 hours.Remission can last even a few years.If there is no remission, we speak of chronic disease course.
most intense pain develops during the night and has no precursors.
cluster headache is considered a cyclic disorder that is associated with the human biological clock.Its role in development is the hypothalamus, nerve triple and serotonin and histamine.At the heart of pain is the expansion of blood vessels in the brain.Painful attacks are provoked by changes in lifestyle.
With such intense pain should consult a neurologist.
the Cluster pain should be distinguished from the pain of migraine, arteritis in the temporal region and disorders of the temporomandibular joint.Diagnosis exhibited in the absence of other causes of pain and its occurrence at a rate of 5 or more attacks for a certain period of time in the absence of neurological pathologies.
patients underwent magnetic resonance imaging to exclude heavy organic changes in the brain.Cluster headache may occur in lesions of the pituitary gland and the carotid artery, or nazofaringalnoy carcinoma in lesions of the upper cervical segments.
Therapy with cluster headache
To eliminate pain attack is carried out with oxygen inhalation and applied cold to the temples.Used sumatriptan and dihydroergotamine nasal spray, sedatives and hypnotics, steroidal hormone, acupuncture.At the beginning of the attack must take NSAIDs (nonsteroidal anti-inflammatory drugs) in combination with caffeine.Painkillers and antispasmodics are not helping.
Prevention of this disease
From prevention to take verapamil and steroids, topiramate, lithium carbonate, anti-oxidants and vitamins of group B. They may also be needle-and laser therapy, therapy and auditory training.