[Trigeminal autonomic cephalgias: diagnostic and therapeutic implications]

MMW Fortschr Med. 2007 Sep 6;149(35-36):39-41.
[Article in German]

Abstract

Trigeminal autonomic cephalgias (TACs) are primary headache syndromes characterized by severe short-lasting headaches accompanied by ipsilateral facial autonomic symptoms. The group includes cluster headache (CH), paroxysmal hemicrania (PH), and short-lasting neuralgiform headache with conjunctival injection and tearing (SUNCT). By far, Cluster headache is the most frequent of these syndromes. Similar hypothalamic and trigeminovascular mechanisms have been discussed as pathophysiologic mechanisms for all TACs. The therapeutic strategies, however, differ considerably. Although unusual, structural lesions in TACs have been described, affecting the therapeutic management.

Publication types

  • Comparative Study
  • English Abstract
  • Review

MeSH terms

  • Administration, Intranasal
  • Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
  • Anticonvulsants / therapeutic use
  • Cluster Headache / diagnosis
  • Cluster Headache / drug therapy
  • Cluster Headache / physiopathology
  • Cluster Headache / prevention & control
  • Diagnosis, Differential
  • Humans
  • Indomethacin / administration & dosage
  • Indomethacin / therapeutic use
  • Injections, Subcutaneous
  • Magnetic Resonance Imaging
  • Oxazolidinones / administration & dosage
  • Oxazolidinones / therapeutic use
  • Paroxysmal Hemicrania / diagnosis
  • Paroxysmal Hemicrania / drug therapy
  • Paroxysmal Hemicrania / physiopathology
  • Paroxysmal Hemicrania / prevention & control
  • SUNCT Syndrome / diagnosis
  • SUNCT Syndrome / physiopathology
  • SUNCT Syndrome / prevention & control
  • Serotonin Receptor Agonists / administration & dosage
  • Serotonin Receptor Agonists / therapeutic use
  • Sumatriptan / administration & dosage
  • Sumatriptan / therapeutic use
  • Time Factors
  • Trigeminal Autonomic Cephalalgias* / diagnosis
  • Trigeminal Autonomic Cephalalgias* / drug therapy
  • Trigeminal Autonomic Cephalalgias* / physiopathology
  • Trigeminal Autonomic Cephalalgias* / prevention & control
  • Tryptamines / administration & dosage
  • Tryptamines / therapeutic use
  • Vasodilator Agents / administration & dosage
  • Vasodilator Agents / therapeutic use
  • Verapamil / administration & dosage
  • Verapamil / therapeutic use

Substances

  • Anti-Inflammatory Agents, Non-Steroidal
  • Anticonvulsants
  • Oxazolidinones
  • Serotonin Receptor Agonists
  • Tryptamines
  • Vasodilator Agents
  • zolmitriptan
  • Sumatriptan
  • Verapamil
  • Indomethacin