TY - JOUR
T1 - Therapy-resistant cluster headache in childhood
T2 - Case report and literature review
AU - Antonaci, F.
AU - Alfei, E.
AU - Piazza, F.
AU - De Cillis, I.
AU - Balottin, U.
PY - 2010/2
Y1 - 2010/2
N2 - The mean age of onset of cluster headache (CH) is in the late third decade. Only few cases of childhood-onset (<14 years) CH have been reported in the literature. We report the case of an 11-year-old boy who suffered from sudden attacks of shock-like, intense pain, localized in the right orbital region, with associated photophobia, phono-phobia, conjunctival injection, lacrimation, nasal congestion, rhinorrhoea and psychomotor agitation. The episodes lasted 60-180 min, and the headache frequency was one to three per day. Physical and neurological examinations, magnetic resonance imaging and blood examinations were normal. The first bout lasted 8 months. Attacks were resistant to every symptomatic and partially to prophylactic treatment that has been tried. The second bout lasted approximately 2 months.
AB - The mean age of onset of cluster headache (CH) is in the late third decade. Only few cases of childhood-onset (<14 years) CH have been reported in the literature. We report the case of an 11-year-old boy who suffered from sudden attacks of shock-like, intense pain, localized in the right orbital region, with associated photophobia, phono-phobia, conjunctival injection, lacrimation, nasal congestion, rhinorrhoea and psychomotor agitation. The episodes lasted 60-180 min, and the headache frequency was one to three per day. Physical and neurological examinations, magnetic resonance imaging and blood examinations were normal. The first bout lasted 8 months. Attacks were resistant to every symptomatic and partially to prophylactic treatment that has been tried. The second bout lasted approximately 2 months.
KW - Childhood
KW - Cluster headache
KW - Drug resistance
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U2 - 10.1111/j.1468-2982.2009.01883.x
DO - 10.1111/j.1468-2982.2009.01883.x
M3 - Article
C2 - 19438914
AN - SCOPUS:77956258392
VL - 30
SP - 233
EP - 238
JO - Cephalalgia
JF - Cephalalgia
SN - 0333-1024
IS - 2
ER -