headache 6

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headache 6

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darkhorse
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11/09/07 - 07:29 PM

A 40-year-old policeman states that he has headaches which are unilateral, occur once or twice per night, but at least once around 3 AM. They last only an hour, but they are excruciating and he paces the floor. He claims his eye swells and tears. This has been going on for a week. His mother had migraines, but nothing like this.

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neuroblastoma
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11/09/07 - 07:56 PM

cluster headache

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mjl1717
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11/09/07 - 08:04 PM

neuroblastoma wrote:
cluster headache

Absolutely-use to Rx with cafergot

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drdg
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11/10/07 - 08:05 AM

Kamsi
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11/10/07 - 11:07 AM

Cluster headache

cool doctor
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11/10/07 - 11:26 AM

its cluster
what do u use if you want to treat an acute attack?

darkhorse
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11/10/07 - 11:27 AM

These are cluster headaches, the most painful headache there is most likely. Acutely a triptan intranasally or 100% oxygen can abort it; preventively the most helpful are valproate, verapamil, lithium and/or pulse steroids. It will usually go away on its own in 6-8 weeks

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