• BMJ case reports · Jan 2008

    Case Reports

    Cluster headache or giant cell arteritis?

    • Sangeetha Baskar, Rolland Etti, George Kitas, and Rainer Klocke.
    • Dudley Group of Hospitals, Rheumatology, Russel's Hall Hospital, Dudley, DY1 2HQ, UK. baskar@doctors.org.uk
    • BMJ Case Rep. 2008 Jan 1;2008:bcr0720080444.

    AbstractWe describe an elderly female patient with known polymyositis who presented with new onset temporal headache that was diagnosed as giant cell arteritis but subsequently had a typical clinical course of cluster headache. This case illustrates the potential for diagnostic confusion between giant cell arteritis (GCA) and cluster headache (CH) and the need to consider CH as a potential differential diagnosis in those newly presenting with headaches, even in the elderly, and relapsing headaches in subjects with a diagnosis of GCA. Importantly, this needs to include female patients, a group historically thought to be much less likely to develop CH.

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