Author/Editor		Pečnik, Borut
Title		Glavobol v rafalih
Translated title		Cluster headache
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 38, št. Suppl 4
Publication year		1999
Volume		str. 35-45
Language		slo
Abstract		Clauster headache is a relatively common primary headache disorder. CH typically occurs in middleaged men and has a characteristic cyclic temporal pattern. During the cluster cycle, cluster headache paroxysms last from 15 to 180 minutes and are manifested by excruciating periorbital or upper facial pain. Associated autonomic symptoms such as lacrimation, rhinorrhea, conjunctival injection, and Horner's syndrome are common in cluster headache. Its pathophysiology is not entirely understood, though it may include a complex cascade of autonomic, immunulogic, and vascular phenomena. An update is given on the clinical picture and therapy.
Summary		Glavobol v rafalih v anglosaksonski litetaturi cluster headache je oblika primarnega glavobola. Značilno se pojavlja pri moških srednjih let v časovno pravilnem vzorcu. Med rafalom trajajo paroksizmi rafalov od 15 do 180 minut. Bolečina, ki je izredno huda, se pojavlja enostransko, okrog očnice oziroma v zgornjem delu lica. Obenem ima bolnik značilne dodatne simptome: solzenje, izcedek iz nosa, pordele veznice in Hornerjev sindrom. Patofiziologija ni povsem pojasnjena. Zdi se, da gre za zapleteno kaskado avtonomnih, imunoloških in žilnih mehanizmov. V članku podajamo pregled klinične slike in zdravljenja.
Descriptors		CLUSTER HEADACHE DIAGNOSIS, DIFFERENTIAL