Cluster Headache After Mild Head Trauma

October 18, 2009 by dean · Leave a Comment 

Horrible day

Cluster Headache after mild head trauma

In this case study a 48 year old woman developed signs and symptoms of cluster headache after hitting her head on an iron ladder.

The authors consider various possibilities as to the cause, but all related to intra cranial, i.e. inside the head, factors … this pre occupation with intra cranial causes is frustrating on two counts.

Firstly, this woman is still suffering 19 years (Yes – 19!) later, and secondly, that a neck injury has not been considered. Research has shown that symptoms of cluster headache are treated successfully by blocking information from the upper neck indicating that neck disorders can be the source of symptoms.

In instances such as this when there is a blow to the head by a stationary object, clearly the head stops (suddenly and momentarily), and the body continues to move, leaving the neck to absorb the strain, effectively to put the brakes on! This patient has experienced a neck injury and even a minor incident can be much than what it seems especially when the blow is unexpected.

Cheers

Dean

(Lambru G, Castellini P, Manzoni GC, Torelli P. Traumatic Cluster Headache: From the Periphery to the Central Nervous System? Headache 2009;49:1059-1072

Peres MF. et al Greater occipital nerve blockade for cluster headache. Cephalalgia 2002;22:520-522

Solomon S, Lipton RB, Newman LC. Nuchal features of cluster headache. Headache 1990;30:347-9

Tobin J,Stephen Flitman S. Nerve Blocks: When and What to Inject? Headache 2009

Treleaven J, Jull G, Atkinson L. Cervical musculoskeletal dysfunction in post-concussional headache. Cephalalgia 1994;14:273-9)

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About dean
Consultant Headache & Migraine Physiotherapist; International Teacher; Director, The Headache Clinic & Watson Headache Institute; PhD Candidate Murdoch University, Western Australia; Adjunct Lecturer, Masters Program, Physiotherapy School, University of South Australia; MAppSc(Res) GradDipAdvManipTher Experienced health practitioners trained in the Watson Headache Approach perform the examination and treatment techniques developed by Dean Watson. These techniques are based on his extensive experience of 7000 headache patients (21,000 hours) over 21 years and are now taught internationally. For your nearest practitioner who has completed training in the ‘Watson Headache Approach’ please refer to the ‘Practitioner Directory’.

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