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- $Unique_ID{BRK01150}
- $Pretitle{}
- $Title{What Causes "Cluster Headaches"?}
- $Subject{headaches cluster clusters circulatory brain headache blood vessel
- vessels alcohol nitroglycerin eye eyes eyelid drooping pupil narrowing
- ergotamine oxygen beta-blocker beta-blockers indomethacin calcium channel
- blockers Lithium carbonate}
- $Volume{G-4,G-1}
- $Log{
- Cluster Headaches*0003905.scf
- Where Headaches Originate I*0004001.scf}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
-
-
- What Causes "Cluster Headaches"?
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-
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-
- QUESTION: After a siege of the most terrible headaches you can imagine, I
- consulted a physician and was told that I had condition known as "cluster
- headaches". It was more than a month before I was finally over the attacks.
- I need to know all I can, and hope you will answer my question. Can you tell
- me where these frightful headaches come from, and what can be done to treat
- them besides antihistamines and pain pills?
-
- ------------------------------------------------------------------------------
-
- ANSWER: This type of headache was named for the manner in which they occur,
- attacking the patient in episodes that come in groups or clusters. Their
- cause remains puzzling to the medical community. We do know that they seem to
- be aggravated by certain substances that cause blood vessels to enlarge, like
- alcohol, nitroglycerin and certain foods. They affect men more frequently
- than women and they usually first appear between the ages of 20 and 40. The
- headaches themselves come on abruptly, creating a severe burning pain around
- the eye which can last from a few minutes up to four hours, but usually last
- for 30-45 minutes. Sometimes they are accompanied by a drooping of the
- eyelid, a narrowing of the pupil, sweating, red eye and flushing of the face
- on the same side as the headache. In many cases only some, but not all of
- these symptoms may occur. Most people will experience the pain a few times a
- day and this may continue for weeks to months.
- The two most commonly used therapies to decrease or relieve the pain are
- ergotamine and oxygen. Ergotamine is a drug which can be taken under the
- tongue and is about the easiest to use. 100% oxygen inhaled for about fifteen
- minutes also seems to provide relief, but this is a cumbersome treatment as it
- is not easy to carry the necessary equipment about with you. Various other
- therapies use beta-blockers (such as indomethacin) and calcium channel
- blockers. Lithium carbonate has been used to treat the chronic variety of
- this distressing disease. Its not an easy disease to treat and there are
- moments of frustration for both the patient and physician. The best counsel I
- can offer you is to understand your condition thoroughly and follow the advice
- of your physician carefully. You will want every possible factor to work in
- your favor to prevent the frequent reoccurrence of this trying disease.
-
- ----------------
-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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-