The autonomic nervous system and cluster headache

1999 ◽  
Vol 20 (S1) ◽  
pp. S28-S30
Author(s):  
S. Cevoli ◽  
G. Pierangeli ◽  
P. Cortelli
Cephalalgia ◽  
2007 ◽  
Vol 27 (9) ◽  
pp. 1069-1073 ◽  
Author(s):  
A Straube ◽  
T Freilinger ◽  
T Rüther ◽  
C Padovan

Despite several reports on symptomatic cluster-like headache, there is no clear explanation of how different lesions thought to be causative are related to cluster-like headache. On the basis of two additional cases of symptomatic cluster headache, we discuss the possibility that an acute imbalance of the autonomic nervous system, namely a net overactivity of the parasympathetic system, may be able to trigger these headache attacks in patients who probably have an additional individual predisposition to react with a cluster-like headache. Such an imbalance can be due to an increase in parasympathetic tone (e.g. stimulation of parasympathetic fibres) or to a reduction of the sympathetic tone (e.g. a lesion of the sympathetic fibres).


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