In Trigeminal Autonomic Cephalalgias It is refreshing to come across a case study which supports my clinical experience. This study1 describes a woman with a cluster-like pattern of presumably [R] side-locked face and neck pain with associated periorbital and mandibular swelling, tearing, conjunctival injection, and allodynia which was ameliorated by third occipital nerve lesioning –
Questions and Answers Q: Of the primary headache types are there some that are more difficult to treat than others? A: Probably the Trigeminal Autonomic Cephalalgia (TACs). The underlying disorder in the TACs is a sensitised brain stem. The way to determine the relevancy of cervical afferents in headache, Migraine or TAC presentations is reproduction
When Determining Headache Causes A fascinating piece of research clearly indicates that one needs to be aware of what is lurking below when determining causes of Cluster Headache, Migraine, Tension Headache, Menstrual Migraine and Hemicrania Continua. Recent research has shown convincingly that migraine and other headache ‘conditions’ share a common disorder i.e., (‘central’) sensitisation of
