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Old 09-08-2012
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Question Cluster Headache

A 55-year-old man complains of severe headaches over the past few weeks. Similar episodes have occurred in past years. Which of the following supports the diagnosis of cluster headaches?

(A) Pain-free intervals can last for days and then recur.

(B) Attacks of daily pain last for 48 weeks.

(C) The most common location of pain is occipital.

(D) Women are affected twice as commonly as men.

(E) Caffeine is the most effective treatment for an acute attack.
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Old 09-08-2012
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Answer A.
(A) Pain-free intervals can last for days and then recur.

cluster hear ache occurs in clusters...
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Same here......a
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Matched!!!
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Old 09-09-2012
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Most probably the correct answer is (B) The episode of cluster headache characterize by one to several short attacks per day lasting for weeks or months
(A)Pain-free interval usually lasting months or years.
(C)pain almost always one-sided, usually localized behind the eye or in the eye region and may radiate to the forehead, temple, nose, cheek or upper gum on the affected side
(D)Men affected 10 times more than female
(E)The most effective abortive therapy of cluster headache are100% Oxygen inhalation, ergotamine, and triptans

Last edited by heartbeat; 09-09-2012 at 01:02 AM.
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Cluster headache very high yield

Answer (B) Men are affected by cluster headaches seven to eight times more often than women. Attacks are typically periorbital and may involve the temporal area. Cluster headaches typically occur daily over a 4- to 8-week period followed by pain-free intervals averaging 1 year. The periodicity of the attacks is often striking, with daily recurrences of pain often at the same hour. Pathogenesis is thought to be due to abnormal serotonergic neurotransmission. One hundred percent oxygen inhalation is most effective acutely. Drugs used to prevent cluster attacks include lithium, ergotamine, sodium valproate, and prednisone.

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Quote:
Cluster headaches occurring in two or more cluster periods lasting from 7 to 365 days with a pain-free remission of one month or longer between the clusters are considered episodic. If the attacks occur for more than a year without a pain-free remission of at least one month, the condition is considered chronic.
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