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JOURNAL ARTICLE

Cluster Headache in a 76-year-old Woman with Onset at the Age of 74: Case Report

Tomasz Grzegorski, Jacek Losy, Agata Zarembska, Marek Stajgis, Wojciech Kozubski
Journal of Oral & Facial Pain and Headache 2018, 32 (4): e49-e52
30365580
Cluster headache (CH) is a rare trigeminal autonomic cephalalgia. Although its pathophysiology is not entirely understood, the hypothalamus and trigeminal nociceptive and autonomic pathways seem to play a key role in its pathology. In the majority of cases, CH begins at a young age and affects mainly men. This article presents a case of a 76-year-old woman with CH that developed at the age of 74. This is one of the first documented reports of CH with such atypical features from an epidemiologic point of view. A possibility of symptomatic cluster-like headache (CLH) attributed to cerebrovascular disease in the patient is also discussed.

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