Cluster headache is particularly rare in childhood. Two cases of cluster headache are reported here to show some variation in presentation and also the similarities in clinical features. A video clip of the headache is presented for the patient in case one, and extracts of personal accounts are given in case 2. Both cases show cluster headache as a severe and debilitating primary headache disorder that can impact badly on child’s quality of life.
The diagnosis of cluster headache in case 1 was relatively early, but not in case 2 which went undiagnosed for several years, but when appropriate treatment was given, both children had a good response to nasal sumatriptan and high-flow oxygen. Other treatment options will be discussed, and the need for appropriate investigations is also discussed.
Autonomic features Cluster headache Migraine
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Levy MJ, Matharu MS, Meeran K, Powell M, Goadsby P. The clinical characteristics of headache in patients with pituitary tumours. Brain. 2005;128(8):1921–30.CrossRefPubMedGoogle Scholar
Headache Classification Committee of the International Headache Society. The international classification of headache disorders, 3rd edition (beta version). Cephalalgia. 2013;33(9):629–808.CrossRefGoogle Scholar
Fischera M, Marziniak M, Gralow I, Evers S. The incidence and prevalence of cluster headache: a meta-analysis of population-based studies. Cephalalgia. 2008;28:614–8.CrossRefPubMedGoogle Scholar
Ekbom K, Svensson DA, Traff H, Waldenlind E. Age at onset and sex ratio in cluster headache: observations over three decades. Cephalalgia. 2002;22(2):94–100.CrossRefPubMedGoogle Scholar
Garrido C, Tuna A, Ramos S, Temudo T. Cluster headache in a 3 year old child. Rev Neurol. 2001;33(8):732–5.PubMedGoogle Scholar
Russell MB, Andersson PG, Thomsen LL, Iselius L. Cluster headache is an autosomal dominantly inherited disorder in some families: a complex segregation analysis. J Med Genet. 1995;32(12):954–6.CrossRefPubMedPubMedCentralGoogle Scholar