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Case Reports
. 2007 Apr;11(2):141-7.
doi: 10.1007/s11916-007-0012-z.

Cluster headache treatment dilemmas: the experts respond

Elizabeth Loder  1 , Paul Rizzoli, Brian McGeeney, Thomas Ward, Morris Levin, Robert E Shapiro, Stewart Tepper, Larry Newman, Fred Sheftell, Alan Rapoport, Herbert Markley
Affiliations
Case Reports

Cluster headache treatment dilemmas: the experts respond

Elizabeth Loder et al. Curr Pain Headache Rep. 2007 Apr.

Abstract

When conventional treatment approaches to cluster headache are unsuccessful, expert recommendations are relevant but may not be easily accessible to treating clinicians. We conducted a study of expert recommendations in response to standardized vignettes. Ten expert headache clinicians were asked what treatment they would recommend for a hypothetical 55-year-old male cluster headache patient in the following five situations: 1) known coronary artery disease with response only to sumatriptan; 2) strictly unilateral headaches unresponsive to preventive treatment; 3) effective abortive treatment not covered by insurance; 4) patient request to obtain methysergide from Canada; and 5) headaches responsive only to steroid treatment.

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