Primary Headache Disorders Part I- Migraine and the Trigeminal Autonomic Cephalalgias

Trigeminal autonomic cephalalgias (TAC) pose a significant challenge for pain physicians. Despite being part of the primary headache disorders, they are uncommon in the general population. Although the literature commonly describes pharmacological management, in refractory patients, interventional pain modalities may be necessary .

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Migraine and Headache in Children

10.1093/med/9780199937837.003.0075 ◽

2017 ◽

Author(s):

Jessica Klein ◽

Christopher Oakley

Keyword(s):

Quality Of Life ◽

Clinical Presentation ◽

Primary Headache ◽

Diagnostic Workup ◽

Trigeminal Autonomic Cephalalgias ◽

Headache Disorders ◽

Children With Cancer ◽

Primary Headache Disorders ◽

Pediatric Neurologist

Headache is the number one reason for referral to a pediatric neurologist, and these children report a quality of life similar to children with cancer and arthritis; therefore this concern warrants particular attention to accurately diagnose, evaluate, and treat. Of the primary headache disorders, tension is the most common, whereas migraine is often the most disabling. Other examples of childhood headaches include migraine precursors, cluster, trigeminal autonomic cephalalgias, and neuralgias. The aim of this chapter is to define migraine and other primary headache disorders of childhood, discuss the neurobiology of headache, and review clinical presentation, diagnostic workup, and treatment.

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Primary Headache Disorders: Trigeminal Autonomic Cephalalgias, Headaches With Specific Triggers, and Other Primary Headache Disorders

10.1093/med/9780197512166.003.0099 ◽

2021 ◽

pp. 884-891

Author(s):

Juliana H. VanderPluym ◽

Rashmi B. Halker Singh

Keyword(s):

Primary Headache ◽

Tension Type Headache ◽

Clinical Feature ◽

Trigeminal Autonomic Cephalalgias ◽

Headache Disorders ◽

Primary Headache Disorders ◽

Daily Headache ◽

The Common ◽

Type Headache ◽

Careful History

Primary headache disorders are those in which the predominant clinical feature is headache that is not caused by or attributed to another disorder. This chapter reviews the common primary headache disorders of migraine, tension-type headache, and chronic daily headache. The present chapter reviews less common primary headache disorders, such as trigeminal autonomic cephalalgias and headaches with certain triggers. A careful history, physical examination, and additional testing are often necessary to rule out a secondary cause.

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Concomitant occurrence of different trigeminal autonomic cephalalgias: A case series and review of the literature

Cephalalgia ◽

10.1177/0333102413506127 ◽

2013 ◽

Vol 34 (3) ◽

pp. 231-235 ◽

Cited By ~ 10

Author(s):

Andreas Totzeck ◽

Hans-Christoph Diener ◽

Charly Gaul

Keyword(s):

Cluster Headache ◽

Clinical Presentation ◽

Case Series ◽

Primary Headache ◽

Hemicrania Continua ◽

Paroxysmal Hemicrania ◽

Trigeminal Autonomic Cephalalgias ◽

Headache Disorders ◽

Primary Headache Disorders

Introduction The trigeminal autonomic cephalalgias (TACs) subsume four primary headache disorders. Hemicrania continua is increasingly regarded as an additional TAC. In rare cases patients may present with two different TACs or a TAC and hemicrania continua. Cases We report four patients with two different TACs or one TAC and hemicrania continua. Two patients presented with cluster headache and paroxysmal hemicrania, one patient with cluster headache and hemicrania continua, and one patient suffered from cluster headache and SUNCT. Discussion While the International Classification of Headache Disorders (ICHD-II) proposes specific diagnostic criteria, the variability of clinical presentation may make clear diagnosis difficult. All patients fulfilled the ICHD-II criteria. The manifestation of two different TACs or hemicrania continua in one patient is uncommon but possible and should be taken into account especially when chronic headache patients present with changing headache symptoms.

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