Devi Ariani Sudibyo, - and Hanik Badriyah Hidayati, - (2021) Chronic Cluster Headache in Woman: A Case Report. In: The International Headache Congress – IHS and EHF joint congress 2021. IEEE, pp. 65-66. ISBN 1129-2377

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Abstract

Background and objective: Cluster headache is the most frequent trigeminal autonomic headache syndromes, with high morbidity due to its pain severity. Chronic cluster headache, comprised of 10-20% patients, can be more difficult to control, mandates for efficient prophylactic therapy for the patient. We present a woman with chronic cluster headache with successful verapamil prophylactic treatment. Case report: A 53 years old woman, admitted in neurology outpatient clinic, complained of 2 years severe left periorbital pain in temporal region with Numeric Pain Rating Scale (NPRS) 10, accompanied by autonomic symptoms (conjunctival injection, tearing, nausea, hyperhidrosis), lasting 45 minutes – 2 hours (if untreated), twice a day especially at night, improved with oxygen therapy during acute attack. Neurological examination and head computed tomography (CT) scan with contrast were normal. Due to her worsening periodicity for the past 2 weeks, prophylactic treatment with verapamil 80 mg twice daily was commenced which give an excellent remission of symptoms and reduced pain intensity within 14 days (NPRS was reduced to 0 with no cluster attack for one month follow up). Conclusions: Verapamil 80 mg twice daily can be used as prophylactic treatment for chronic cluster headache with good result and less side effect. It gives significant reduction on pain intensity followed by no cluster attack.

Item Type:	Book Section
Uncontrolled Keywords:	Cluster headache, Verapamil, Prophylactic treatment
Subjects:	R Medicine > R Medicine (General) R Medicine > RC Internal medicine
Divisions:	01. Fakultas Kedokteran > Neurologi (Spesialis)
Creators:	Creators NIM Devi Ariani Sudibyo, - NIDN0001108203 Hanik Badriyah Hidayati, - NIDN0024097808
Depositing User:	arys fk
Date Deposited:	23 Aug 2022 06:37
Last Modified:	23 Aug 2022 06:37
URI:	http://repository.unair.ac.id/id/eprint/117707
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