Cases of cluster headache

Abstract

Cluster headache is particularly rare in childhood. Two cases of cluster headache are reported here to show some variation in presentation and also the similarities in clinical features. A video clip of the headache is presented for the patient in case one, and extracts of personal accounts are given in case 2. Both cases show cluster headache as a severe and debilitating primary headache disorder that can impact badly on child’s quality of life. The diagnosis of cluster headache in case 1 was relatively early, but not in case 2 which went undiagnosed for several years, but when appropriate treatment was given, both children had a good response to nasal sumatriptan and high-flow oxygen. Other treatment options will be discussed, and the need for appropriate investigations is also discussed.