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KMID : 1235920130050010041
Medical Journal of Catholoc University of Daegu
2013 Volume.5 No. 1 p.41 ~ p.43
Intermittent Unilateral Headache - Case based
Do Young-Rok

Do Jin-Kuk
Abstract
The nosological boundaries between migraine and cluster headache (CH) are sometimes ill-defined. When migraine
patients have strictly unilateral headache, the presence of cranial autonomic symptoms (CAS) might cause diagnostic
confusion with CH. Most patient with migraine had bilateral CAS, while most patients with CH had ipsilateral CAS to
their headache side. The CAS were more prevalent in migraine patients with a long history of illness and long individual
attacks. We know the classic distinctions that migraine patients are generally quite during an attack and avoid movement
while cluster headache patients are the opposite. Clinical distinctions between migraine and CH sometimes appear to be
merely a matter of the degree and severity of the presenting symptoms, and diagnostic dilemmas may arise.
Trigeminal autonomic cephalalgias can be differentiated from each other according to their attack duration, attack
frequency, and therapeutic treatment response. Indomethacin and oxygen treatment would be important as diagnostic
tools. Trigeminal neuralgia (TN) and short-lasting unilateral neuralgiform headache attacks with conjunctival
injection and tearing (SUNCT) are short lasting, frequent attacks, precipitated by cutaneous stimuli. TN often has
very short attack duration and refractory period compared to SUNCT.
KEYWORD
Cranial autonomic symptoms , Trigeminal autonomic cephalalgias , Short-lasting unilateral neuralgiform headache attacks with conjuctival injection and tearing
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