By K. Ranco, E. Verrier
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Extra resources for Advanced Therapy in Cardiac Surgery
Dull ache in the head and neck associated with awareness of neck and/or jaw muscle contraction and meeting criterion B B. Occurs during sexual activity and increases with sexual excitement C. Secondary causes excluded Orgasmic headache A. Sudden severe (“explosive”) headache meeting criterion B B. Occurs at orgasm C. 19 Diagnostic criteria for hypnic headache, ICHD-2 A. Dull headache fulfilling B–D B. Develops only during sleep, and awakens patient C. At least two of the following characteristics: 1.
Stimulation of occipital nerve for drug-resistant chronic cluster headache. Lancet Neurol. 2007;6:289–91. Pascual J, Iglesias F, Oterino A, Vázquez-Barquero A, Berciano J. Cough, exertional, and sexual headaches: an analysis of 72 benign and symptomatic cases. Neurology. 1996;46:1520–4. Schwedt T. Clinical spectrum of thunderclap headache. Expert Rev Neurother. 2007;7: 1135–44. Part II Diagnosis of Chronic Headaches Chapter 3 Diagnosis of Primary Chronic Daily Headaches Stewart J. Tepper and Deborah E.
Eyelid edema 4. Forehead and facial sweating 5. Miosis or ptosis 6. A sense of restlessness and agitation D. The attacks have a frequency of QOD to 3/day E. 6 Clinical pearls on diagnosing cluster • Attacks are short, sharp, and severe (triple S; SSS) • Attacks manifest parasympathetic activation and sympathetic paresis with agitation • Attacks occur with alarm clock periodicity • Cluster patients in cycle rarely, if ever, drink alcohol, due to the severity of the trigger • Smoking is common in cluster patients • In about one-third of cluster patients, there can be low level ipsilateral interictal pain Cluster attacks are manifested by parasympathetic activation (scleral injection, lacrimation, diaphoresis, nasal stuffiness, and/or rhinorrhea).