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Clinical Observations on 76 Cluster Headache Cases

1981; Karger Publishers; Volume: 20; Issue: 2 Linguagem: Inglês

10.1159/000115213

1421-9913

Gian Camillo Manzoni, Mario Giovanni Terzano, Giacomo Moretti, Michael N. Cocchi,

Trigeminal Neuralgia and Treatments

76 cases of cluster headache are reviewed. Besides confirming established notions, the present study calls attention to the following points: (a) the peculiar behaviour of patients during the attacks does not appear explainable in simple terms of reaction to pain; (b) the occurrence of ECG abnormalities during the attacks in addition to bradycardia; (c) the well-known tendency of cluster headache attacks to recur at the same time of day, has in our cases a very high peak at 3 p.m., and (d) when the attacks occur in sleep hours, the time relationship with REM sleep stage is confirmed in our cases which have been recorded at night.