Cluster headache: To scan or not to scan |
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Authors: | Irene Favier Joost Haan Michael D Ferrari |
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Institution: | (1) Department of Neurology, K5-Q, Leiden University Medical Centre, PO Box 9600, 2300 RC Leiden, The Netherlands |
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Abstract: | By definition, cluster headache (CH) is not caused by underlying structural pathology. However, patients with CH or CH-like
syndromes and an associated structural lesion have been described. In many cases it is difficult to establish a causal relation
between the headache syndrome and the lesion. We reviewed the literature for symptomatic CH or CH-like cases in which causality
was very likely, and we found that even typical CH with a typical episodic time pattern and a response to typical CH treatment
can be caused by underlying structural pathology such as a pituitary tumor. Based on this small retrospective series of case
reports, it is impossible to give advice about neuroimaging. If neuroimaging is considered, MRI (not CT) is the investigation
of choice. |
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Keywords: | |
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