10/7/2015 ClusterHeadacheWorkup:ApproachConsiderations
http://emedicine.medscape.com/article/1142459workup 1/3
ClusterHeadacheWorkupAuthor:MichelleBlanda,MDChiefEditor:TarakadSRamachandran,MBBS,FRCP,FRCPCmore...
Updated:Apr08,2014
ApproachConsiderationsThediagnosisofclusterheadache(CH)isbasedonhistoricalandphysicalfindings.Ahistoryofattacksthatoccurwiththecharacteristicperiodicityandrhythmicityisthekeytothediagnosis.Laboratorystudiesarenotofparticularvalueinthisregard.
Imagingstudies,thoughnotdiagnostic,areusefulforexcludingotherpotentialcausesofheadacheinselectedpatients.Neuroimagingwithassessmentoftheintracranialandcervicalvasculatureandthesellarandparanasalregionisrecommendedinallpatientswithatypicalpresentationsoftrigeminalautonomicheadaches.
Treatment&Management
ContributorInformationandDisclosuresAuthorMichelleBlanda,MDChairEmeritus,DepartmentofEmergencyMedicine,SummaHealthSystemAkronCity/StThomasHospitalProfessorofEmergencyMedicine,NortheasternOhioUniversitiesCollegeofMedicine
MichelleBlanda,MDisamemberofthefollowingmedicalsocieties:AmericanCollegeofEmergencyPhysicians,SocietyforAcademicEmergencyMedicine
Disclosure:Nothingtodisclose.
Coauthor(s)RimaMDafer,MD,MPH,FAHAAssociateProfessor,DepartmentofNeurologyandNeurologicalSurgery,LoyolaUniversity,ChicagoStritchSchoolofMedicine
RimaMDafer,MD,MPH,FAHAisamemberofthefollowingmedicalsocieties:AmericanAcademyofNeurology,AmericanHeartAssociation,AmericanHeadacheSociety
Disclosure:Nothingtodisclose.
ChiefEditorTarakadSRamachandran,MBBS,FRCP,FRCPCProfessorEmeritusofNeurologyandPsychiatry,ClinicalProfessorofMedicine,ClinicalProfessorofFamilyMedicine,ClinicalProfessorofNeurosurgery,StateUniversityofNewYorkUpstateMedicalUniversityNeuroscienceDirector,DepartmentofNeurology,CrouseIrvingMemorialHospital
TarakadSRamachandran,MBBS,FRCP,FRCPCisamemberofthefollowingmedicalsocieties:AmericanCollegeofInternationalPhysicians,AmericanHeartAssociation,AmericanStrokeAssociation,AmericanAcademyofNeurology,AmericanAcademyofPainMedicine,AmericanCollegeofForensicExaminersInstitute,NationalAssociationofManagedCarePhysicians,AmericanCollegeofPhysicians,RoyalCollegeofPhysicians,RoyalCollegeofPhysiciansandSurgeonsofCanada,RoyalCollegeofSurgeonsofEngland,RoyalSocietyofMedicine
Disclosure:Nothingtodisclose.
AcknowledgementsJosephCarcioneJr,DO,MBAConsultantinNeurologyandMedicalAcupuncture,MedicalManagementandOrganizationalConsulting,CentralWestchesterNeuromuscularCare,PCMedicalDirector,OxfordHealthPlans
JosephCarcioneJr,DO,MBAisamemberofthefollowingmedicalsocieties:AmericanAcademyofNeurology
Disclosure:Nothingtodisclose.
StevenCDronen,MD,FAAEMChair,DepartmentofEmergencyMedicine,LeConteMedicalCenter
StevenCDronen,MD,FAAEMisamemberofthefollowingmedicalsocieties:AmericanAcademyofEmergencyMedicineandSocietyforAcademicEmergencyMedicine
Disclosure:Nothingtodisclose.
RagasriKumar,DOResidentPhysician,DepartmentofNeurology,LoyolaUniversityMedicalCenter
Disclosure:Nothingtodisclose.
EdwardAMichelson,MDAssociateProfessor,ProgramDirector,DepartmentofEmergencyMedicine,UniversityHospitalHealthSystemsinCleveland
EdwardAMichelson,MDisamemberofthefollowingmedicalsocieties:AmericanCollegeofEmergencyPhysicians,NationalAssociationofEMSPhysicians,andSocietyforAcademicEmergencyMedicine
Disclosure:Nothingtodisclose.
LoriKSargeant,MDConsultingStaff,SummaEmergencyAssociates,Inc
LoriKSargeant,MDisamemberofthefollowingmedicalsocieties:AlphaOmegaAlpha,AmericanCollegeofEmergencyPhysicians,andOhioStateMedicalAssociation
Disclosure:Nothingtodisclose.
FranciscoTalavera,PharmD,PhDAdjunctAssistantProfessor,UniversityofNebraskaMedicalCenterCollegeofPharmacyEditorinChief,MedscapeDrugReference
10/7/2015 ClusterHeadacheWorkup:ApproachConsiderations
http://emedicine.medscape.com/article/1142459workup 2/3
Disclosure:MedscapeSalaryEmployment
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