Practical Strategy for Detecting and Relieving Cluster Headaches

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Description Diagnosis, too often delayed, is not difficult given the typical pattern, and treatment options work for most patients
Abstract Practice recommendations
■ Learn to recognize the distinctive pattern of cluster headaches that in most cases, even if some symptoms suggest migraine, will readily reveal this disorder (C).
■ 100% oxygen by face mask and injected sumatriptan (Imitrex) are effective choices to terminate an acute attack (B).
■ Verapamil (Calan) or corticosteroids abort cluster cycles and prevent further attacks (B).
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