Trigeminal Autonomic Cephalalgias in Children and Adolescents: Cluster Headache and Related Conditions

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• 作者：Kenneth J. Mack ; MD ; PhD^* ; ^{Mack.kenneth@mayo.edu" class="auth_mail" title="E-mail the corresponding author} ; Peter Goadsby ; MD ; PhD ; DSc^&dagger ; ; ^&Dagger ;
• 刊名：Seminars in Pediatric Neurology
• 出版年：2016
• 出版时间：February 2016
• 年：2016
• 卷：23
• 期：1
• 页码：23-26
• 全文大小：136 K

文摘

Cluster headache is a primary headache disorder that can occur in children and adolescents, and is a member of the broader diagnostic group of trigeminal autonomic cephalalgias. It is characterized by repeated attacks typically lasting between 15 and 180 minutes of severe unilateral side-locked headache with cranial autonomic features. Acute treatment of the cluster attack can include the use of triptans or high-flow oxygen. Preventive measures typically start with the use of verapamil. The other trigeminal autonomic cephalalgias, paroxysmal hemicrania, short-lasting unilateral neuralgiform headache with conjunctival injection and tearing (SUNCT), and short-lasting unilateral neuralgiform headache with cranial autonomic features (SUNAA), have also been reported in children, and should be considered when the clinical presentation is at all unusual.