Cluster headache as a first manifestation of multiple sclerosis: case report and literature review

Milija D Mijajlović,* Vuk M Aleksić,* Nadežda M Čovičković &Scaron;ternić Department for Cerebrovascular Disorders and Headaches, Neurology Clinic, Clinical Center of Serbia, School of Medicine, University of Belgrade, Belgrade, Serbia *These authors contributed equally to this work...

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Autores principales:	Mijajlović MD, Aleksić VM, Čovičković Šternić NM
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/262d89e969cc4e1982e0ad083cbeba10
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spelling	oai:doaj.org-article:262d89e969cc4e1982e0ad083cbeba102021-12-02T01:54:44ZCluster headache as a first manifestation of multiple sclerosis: case report and literature review1178-2021https://doaj.org/article/262d89e969cc4e1982e0ad083cbeba102014-11-01T00:00:00Zhttp://www.dovepress.com/cluster-headache-as-a-first-manifestation-of-multiple-sclerosis-case-r-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021 Milija D Mijajlović,* Vuk M Aleksić,* Nadežda M Čovičković &Scaron;ternić Department for Cerebrovascular Disorders and Headaches, Neurology Clinic, Clinical Center of Serbia, School of Medicine, University of Belgrade, Belgrade, Serbia *These authors contributed equally to this work Abstract: Cluster headache (CH) is estimated to be the most common primary trigeminal autonomic headache, although it is a rare disabling medical condition. Dominant symptoms of CH include severe unilateral orbital, supraorbital, and/or temporal pain, lasting from 15 to 180 minutes if untreated, associated with at least one of various autonomic symptoms during the headache, such as conjunctival injection, lacrimation, nasal congestion and rhinorrhea, facial sweating, miosis, ptosis, and eyelid edema. Headache is not frequently a symptom of multiple sclerosis (MS). The most commonly reported primary headaches are migraine without aura and a tension-type headache. Several described cases involved complicated migraine, ophthalmoplegic migraine-like headache, and finally cluster-like headache. We present a case of a 45-year-old male patient who had typical CH attacks as the initial and only clinical manifestation of MS, which was diagnosed after cerebrospinal fluid (CSF) isoelectric focusing and brain magnetic resonance imaging (MRI) investigation. He presented as a typical cluster-like headache patient since in the background of the CH symptoms and signs, were MS demyelinating lesions. In a patient with CH symptoms one should always think about the possibility of cluster-like-headache, which presents the CH patient with different underlying diseases, so we proposed a protocol to evaluate such patients and exclude diseases that could be in the background of CH symptoms. Keywords: demyelinating disease, headache, trigeminal autonomic cephalalgia, diagnosisMijajlović MDAleksić VMČovičković Šternić NMDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2014, Iss default, Pp 2269-2274 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Mijajlović MD Aleksić VM Čovičković Šternić NM Cluster headache as a first manifestation of multiple sclerosis: case report and literature review
description	Milija D Mijajlović,* Vuk M Aleksić,* Nadežda M Čovičković &Scaron;ternić Department for Cerebrovascular Disorders and Headaches, Neurology Clinic, Clinical Center of Serbia, School of Medicine, University of Belgrade, Belgrade, Serbia *These authors contributed equally to this work Abstract: Cluster headache (CH) is estimated to be the most common primary trigeminal autonomic headache, although it is a rare disabling medical condition. Dominant symptoms of CH include severe unilateral orbital, supraorbital, and/or temporal pain, lasting from 15 to 180 minutes if untreated, associated with at least one of various autonomic symptoms during the headache, such as conjunctival injection, lacrimation, nasal congestion and rhinorrhea, facial sweating, miosis, ptosis, and eyelid edema. Headache is not frequently a symptom of multiple sclerosis (MS). The most commonly reported primary headaches are migraine without aura and a tension-type headache. Several described cases involved complicated migraine, ophthalmoplegic migraine-like headache, and finally cluster-like headache. We present a case of a 45-year-old male patient who had typical CH attacks as the initial and only clinical manifestation of MS, which was diagnosed after cerebrospinal fluid (CSF) isoelectric focusing and brain magnetic resonance imaging (MRI) investigation. He presented as a typical cluster-like headache patient since in the background of the CH symptoms and signs, were MS demyelinating lesions. In a patient with CH symptoms one should always think about the possibility of cluster-like-headache, which presents the CH patient with different underlying diseases, so we proposed a protocol to evaluate such patients and exclude diseases that could be in the background of CH symptoms. Keywords: demyelinating disease, headache, trigeminal autonomic cephalalgia, diagnosis
format	article
author	Mijajlović MD Aleksić VM Čovičković Šternić NM
author_facet	Mijajlović MD Aleksić VM Čovičković Šternić NM
author_sort	Mijajlović MD
title	Cluster headache as a first manifestation of multiple sclerosis: case report and literature review
title_short	Cluster headache as a first manifestation of multiple sclerosis: case report and literature review
title_full	Cluster headache as a first manifestation of multiple sclerosis: case report and literature review
title_fullStr	Cluster headache as a first manifestation of multiple sclerosis: case report and literature review
title_full_unstemmed	Cluster headache as a first manifestation of multiple sclerosis: case report and literature review
title_sort	cluster headache as a first manifestation of multiple sclerosis: case report and literature review
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/262d89e969cc4e1982e0ad083cbeba10
work_keys_str_mv	AT mijajlovicmd clusterheadacheasafirstmanifestationofmultiplesclerosiscasereportandliteraturereview AT aleksicvm clusterheadacheasafirstmanifestationofmultiplesclerosiscasereportandliteraturereview AT covickovicsternicnm clusterheadacheasafirstmanifestationofmultiplesclerosiscasereportandliteraturereview
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Cluster headache as a first manifestation of multiple sclerosis: case report and literature review

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