Trigeminal Autonomic Cephalalgias in Children and Adolescents: Cluster Headache and Related Conditions
Section snippets
Cluster Headache
Cluster headache is the most common TAC. The prevalence in adults is <1% and has a male predominance.2 The prevalence in childhood and adolescence has been estimated to be 0.1%, based on a study of 18-year-old Swedish men.3 Studies have noted childhood onset at ages between 5 and 19 years. The current concept of cluster headache is as a central nervous system disorder involving an interaction between diencephalic pain modulatory centers in the hypothalamic region and the cranial autonomic
Paroxysmal Hemicrania and SUNCT-SUNA Syndrome
Paroxysmal hemicrania is said to be rare in children, although there are no data available and in specialist clinics their frequency seems similar to what can be seen in comparable adult clinics. Attacks of unilateral, often stabbing, headaches are shorter (2-30 minutes), and more frequent (typically more than 5 per day) than in cluster headaches.26 These headaches are exceptionally responsive to treatment with indomethacin.27 In adult patients, a typical indomethacin trial begins with 25 mg
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Cited by (17)
An unusual diagnostic route: Pediatric case of a mesencephalic cavernoma presenting as cluster headache
2021, Interdisciplinary Neurosurgery: Advanced Techniques and Case ManagementCitation Excerpt :The underlying pathophysiology relies on the trigemino-autonomic reflex with afferent input originating in the two first divisions of the trigeminal nerve (ophthalmic branch V1 and maxillary branch V2) and parasympathetic efferent output transmitted by the facial nerve (VII) via the greater petrosal nerve, resulting in the autonomic symptoms mentioned above [3]. Cluster headaches are classified as trigeminal autonomic cephalalgia, which are per definition primary headaches [2]. However, a numbers of cases of inflammatory, vascular or neoplastic conditions have been reported to cause or mimic cluster headaches [4–9].
Chronic migraine and other types of primary chronic daily headache
2021, Pediatric HeadacheCluster Headache: Diagnosis, Management, and Treatment in Pediatric Headache
2024, Journal of Clinical MedicineSudden onset headaches in paediatric emergency departments: diagnosis and management
2023, Italian Journal of PediatricsTrigeminal Autonomic Cephalalgias and Neuralgias in Children and Adolescents: a Narrative Review
2023, Current Neurology and Neuroscience ReportsChild with New Onset Headache
2023, Symptom-Based Approach to Pediatric Neurology