Cluster headache – průběh záchvatu a jeho klinické varianty Den povědomí o cluster headache 2026 // SOLEN

Neurológia pre prax 1/2026

Cluster headache – course of the attack and its clinical variants Cluster headache awareness day 2025

Cluster headache awareness day 2025 The aim of this review article is to provide information on the clinical course of cluster headache (CH). Individual attacks, cluster periods, and the long-term course of the disease show significant variability, which contributes to diagnostic delay. Notably, some of the CH variants are not uncommon: in a retrospective analysis of own cohort of 70 patients with CH, eight (11,4 %) did not meet the strict wording of the criteria defined by the International Classification of Headache Disorders (ICHD-3). Five patients (7,1 %) due to a change in symptom lateralization, one (1,4 %) due to atypical localization outside the first trigeminal branch (orofacial cluster attacks), one due to the absence of cranial autonomic symptoms, and one due to persistent Horner's syndrome. Many other variant manifestations of CH beyond the ICHD-3 criteria have been described in the literature.

Keywords: cluster headache, trigeminal autonomic cephalalgias, headache, facial pain, classification, diagnosis, differential.