Headaches with Autonomic Symptoms
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|Related website link||https://pdfs.semanticscholar.org/16f9/661c3da9f6f49194469132e013952a9301e4.pdf|
|Abstract||Primary short-lastingheadaches broadly divide themselves into those associated withautonomic symptoms, so calledtrigemino-autonomic cephalgias(TACs), and those with little autonomic syndromes. The trigeminoautonomic cephalgias include cluster headache and paroxysmal hemicranias, in which head pain
and cranial autonomic symptoms are prominent. The most striking feature of cluster headache is the
circadian and circannual periodicity of the attacks. Inheritance may play a role in some families. The attacks are of extreme intensity, of short duration, occur unilaterally, and are accompanied by symptoms
of autonomic dysfunction. Medical treatment includes both acute therapy aimed at aborting individual
attacks and prophylactic therapy aimed at preventing recurrent attacks during the cluster period.
Some types of trigemino-autonomic headaches, such as paroxysmal hemicrania and hemicrania continua have, unlike cluster headaches, a very robust response to indomethacin, leading to a consideration of indomethacin-sensitive headaches.
Key words trigeminoautonomic cephalgias · cluster headache · autonomic symptoms