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Curr Pain Headache Rep · Apr 2007
Case ReportsCluster headache treatment dilemmas: the experts respond.
- Elizabeth Loder, Paul Rizzoli, Brian McGeeney, Thomas Ward, Morris Levin, Robert E Shapiro, Stewart Tepper, Larry Newman, Fred Sheftell, Alan Rapoport, and Herbert Markley.
- 1153 Centre Street, Boston, MA 02130, USA. eloder@partners.org
- Curr Pain Headache Rep. 2007 Apr 1; 11 (2): 141-7.
AbstractWhen conventional treatment approaches to cluster headache are unsuccessful, expert recommendations are relevant but may not be easily accessible to treating clinicians. We conducted a study of expert recommendations in response to standardized vignettes. Ten expert headache clinicians were asked what treatment they would recommend for a hypothetical 55-year-old male cluster headache patient in the following five situations: 1) known coronary artery disease with response only to sumatriptan; 2) strictly unilateral headaches unresponsive to preventive treatment; 3) effective abortive treatment not covered by insurance; 4) patient request to obtain methysergide from Canada; and 5) headaches responsive only to steroid treatment.
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