By William G. Speed III (auth.), Ninan T. Mathew M.D. (eds.)

This publication constitutes a compilation and integration of the newest advances within the administration of cluster complications. It encompasses the paintings of 9 specialists within the box of headache within the U.S. and provides a radical and accomplished view of the topic. many of the members on the symposium have spent years learning cluster headache and its versions. They current numerous conceptions in a entire demeanour. it really is believed that the generalist, neurolo­ gist, or different clinical expert excited about the remedy of this hard syndrome will derive diagnostic and healing perception into its administration. The sufferers looking support and realizing in their situation would be the final beneficiaries of its details. SEYMOUR DIAMOND, M.D. March, 1984 Preface The prior decade has witnessed a surge of curiosity within the box of headache and similar problems. although the pathophysiology and pathogenesis of fundamental headache problems are nonetheless poorly un­ derstood, contemporary medical and healing observations have significantly contributed to development of sufferer care within the headache box. Headache clinics focusing on the analysis and entire administration of complications, now to be had in such a lot significant towns, have additionally helped within the development of sufferer care and research.

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Headache 1979; 19:18-24. Schele R, Ahlborg B, and Ekbom K: Physical characteristics and allergy history in young men with migraine and other headaches. Headache 1978; 18:80-86. Ekbom K: Heart rate, blood pressure and electrocardiographic changes during provoked attacks of cluster headache. Acta Neurol Scand 1970; 46:215-224. Ekbom K, Lindahl J: Effects of induced rise of blood pressure and pain on cluster headache. Acta Neurol Scand 1970; 46:586-600. Steinhilber RM, Pearson JS, Rushton JG: Some psychological considerations of histaminic cephalgia.

Rosenthal M: Diseases of the Nervous System. New York, William Wood, 1971, vol 2, pp. 254-256. Symonds CA: A particular variety of headache. Brain 1956; 79:217-232. 37. Copyright © 1984 by Spectrum Publications, Inc. Cluster Headache. Edited by N. T. Mathew. 5 Peripheral Autonomic Abnormalities in Cluster Headache N. VUAYAN AND CRAIG WATSON SYNOPSIS Signs of disturbed autonomic function constitute a prominent feature of cluster headache. These include conjunctival injection, lacrimation, ptosis, miosis, nasal stuffiness and rhinorrhea.

Both of these signs are often very mild and have to be specifically looked for. Otherwise it is easy for these manifestations to be missed. Another interesting observation is that these manifestations occur only during the cluster periods and may even disappear between each individual headaches. Often patients overlook these changes and have to be instructed to look for them during the headache. These may become evident only after the headaches have been occurring for a few few days. In some patients these changes outlast the cluster episodes and sometimes remain permanently.

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