Horton's syndrome

Overview said, Horton's headache, cluster headache. Etiopathologic etiology and pathogenesis is not yet specified, the general view is intracranial and extracranial vascular expansion. Horton's view, this type of headache and histamine close It had the disease in patients with intermittent subcutaneous injection of histamine trial period showed that 60% of patients can induce migraine attack. Blood and the increase of histamine and dissipated very quickly, suggesting that with the rapid onset of the headache. Clinical manifestations of the disease is characterized by headache migraine attack may come in groups, the performance of a series of intensive migraine attack. Attack cyclical, no prodromal symptoms. Attack from the side of pain around the eye socket, the rapid expansion to frontotemporal, can involve serious contralateral. Was pulsatile, both drilling pain or burning, to be reminded sleep pain. Characteristics associated with the symptoms : facial flushing, sweating, ipsilateral tears, conjunctival congestion, nasal obstruction. Apart from the superficial temporal artery dilatation, there ipsilateral Miosis, ptosis, etc. Incomplete Horner's syndrome. Daily attack a ~ 2 times, each time attack lasted several minutes to about 2 ~ 3 hours, the attack also fast disappearing fast, remission for a long time. Few patients with the aftermath of fatigue or sleepiness, headache every day regularity in roughly the same time, Standing in the afternoon or early in the morning attack. Drinking or nitroglycerin can stimulate migraine attack. Headache often confined to the same side. Differential diagnosis (1) of migraine (migraine) will begin the first performance of the side supraorbital, After the orbital or frontotemporal parts of the pain and strength with the growth of pulsatile nature, then continued for a fixed intense pain. and hemineglect extended to the entire head, or even the neck. Patients paleness, accompanied nausea, vomiting, headache, usually a day, often sleep terminated. Before headache symptoms are often precursors, and the many bilateral, the general incidence in adolescence, many family history. Blood histamine increased slightly and serotonin (5-HT) significantly decreased. (2) Sluder's cranio-facial vascular pain usually occurs in males, performance unilateral fixed paroxysmal headache, The next involving the orbital region and not to go beyond the contralateral, accompanied by autonomic neuropathy and vascular-like symptoms secretion Horner's sign, conjunctival hyperemia, tearing, Unilateral nose plug and a runny nose. No symptoms of cerebral cortex. Development of a unique, three-day within six weeks or attack a few days and then complete remission a few days or a few years, then relapse. (3) basilar artery migraine (basilar migraine) common in young women close relationship with menstruation. Attack Suddenly, the precursor symptoms include visual indication : flash, flash-dark, heminopia or short-term in nature and Mongolia. Or vestibular dysfunction, hearing loss or reduction, which can be accompanied by cerebellar symptoms, vertigo, tinnitus, ataxia, dysarthria poor. Threatened continued for a few minutes to half an hour after the occipital pain, often bloated, multi-accompanied by autonomic symptoms such as nausea, vomiting. Fashion can be a temporary disturbance of consciousness. Such headaches are a disseminated intravascular movement dysfunction.