Subscribe to RSS
DOI: 10.1055/s-2005-868706
© Georg Thieme Verlag Stuttgart · New York
Trigeminoautonome Kopfschmerzen, Hemicrania continua und Hypnic Headache
Ein Überblick über die seltenen primären KopfschmerzformenTrigeminal autonomic cephalgias, hemicrania continua and hypnic headacheA review of rare primary headachesPublication History
eingereicht: 30.12.2004
akzeptiert: 14.4.2005
Publication Date:
04 May 2005 (online)

Zusammenfassung
Die Mehrzahl aller Kopfschmerzpatienten leidet unter primären Zephalgien, ganz überwiegend unter Migräne und Spannungskopfschmerz. Zu dieser Gruppe zählen weitere sehr seltene Formen, die erst 2004 in der zweiten, revidierten Kopfschmerzklassifikation der International Headache Society (IHS) angeführt wurden. Ihre typische klinische Symptomatik ist weniger bekannt. Die Diagnose dieser Kopfschmerzsyndrome ist aber wichtig, weil sie meistens einer effektiven spezifischen Therapie zugeführt werden können. Die vorliegende Übersicht fasst den aktuellen Wissensstand über Klinik und Behandlungsmöglichkeiten von Cluster-Kopfschmerz, paroxysmaler Hemikranie, SUNCT-Syndrom, Hemicrania continua und Hypnic headache zusammen.
Summary
Tension-type headache and migraine are the most common types of primary headaches. Apart from these well known diseases, the group of primary headaches includes other relatively rare headache disorders. Some of these seldom syndromes have been described for the first time within the last twenty years and have been newly included in the revised IHS classification from 2004.
Their typical symptomatic is less known, but offers an excellent opportunity to diagnose these syndromes. The importance of recognising these disorders is underlined by the fact, that rare primary headaches response often complete and rapid to a specific treatment. This review summarizes the current knowledge on the clinical presentation and treatment of cluster headache, paroxysmal hemicrania, SUNCT syndrome, hemicrania continua and hypnic headache.
Literatur
- 1
Antonaci F, Sjaastad O.
Chronic paroxysmal hemicrania (CPH): a review of the clinical manifestations.
Headache.
1989;
29
648-656
Reference Ris Wihthout Link
- 2
Bahra A, May A, Goadsby P J.
Cluster headache: a prospective clinical study with diagnostic implications.
Neurology.
2002;
58
354-361
Reference Ris Wihthout Link
- 3
Bordini C, Antonaci F, Stovner L J, Schrader H, Sjaastad O.
„Hemicrania continua”: a clinical review.
Headache.
1991;
31
20-26
Reference Ris Wihthout Link
- 4
Busch V, May A.
Trigemino-autonomic headache syndromes.
Fortschr Neurol Psychiatr.
2003;
71
17-23
Reference Ris Wihthout Link
- 5
Bussone G, Leone M, Peccarisi C. et al .
Double blind comparison of lithium and verapamil in cluster headache prophylaxis.
Headache.
1990;
30
411-417
Reference Ris Wihthout Link
- 6
Couch J R, Ziegler D K.
Prednisone therapy for cluster headache.
Headache.
1978;
18
219-221
Reference Ris Wihthout Link
- 7
Dodick D W, Rozen T D, Goadsby P J, Silberstein S D.
Cluster headache.
Cephalalgia.
2000;
20
787-803
Reference Ris Wihthout Link
- 8
Dodick D W.
Indomethacin-responsive headache syndromes.
Curr Pain Headache Rep.
2004;
8
19-26
Reference Ris Wihthout Link
- 9
Ekbom K, Hardebo J E.
Cluster headache: aetiology, diagnosis and management.
Drugs.
2002;
62
61-69
Reference Ris Wihthout Link
- 10
Ekbom K, Krabbe A, Micieli G. et al .
Cluster headache attacks treated for up to three months with subcutaneous sumatriptan
(6 mg). Sumatriptan Cluster Headache Long-term Study Group.
Cephalalgia.
1995;
15
230-236
Reference Ris Wihthout Link
- 11
Evans R W.
Diagnostic testing for the evaluation of headaches.
Neurol Clin.
1996;
14
1-26
Reference Ris Wihthout Link
- 12
Evers S, Goadsby P J.
Hypnic headache: clinical features, pathophysiology, and treatment.
Neurology.
2003;
60
905-909
Reference Ris Wihthout Link
- 13
Evers S, Husstedt I W.
Alternatives in drug treatment of chronic paroxysmal hemicrania.
Headache.
1996;
36
429-432
Reference Ris Wihthout Link
- 14 Evers S, Limmroth V, May A, Straube A. Cluster Kopfschmerzen. Stuttgart: Georg Thieme Verlag In: HC Diener für die Komission „Leitlinien” der Deutschen Gesellschaft für Neurologie
(Hrsg.). Leitlinien für Diagnostik und Therapie in der Neurologie 2003: 322-324
Reference Ris Wihthout Link
- 15
Fogan L.
Treatment of cluster headache. A double-blind comparison of oxygen v air inhalation.
Arch Neurol.
1985;
42
362-363
Reference Ris Wihthout Link
- 16
Ghiotto N, Sances G, Di Lorenzo G. et al .
Report of eight new cases of hypnic headache and mini-review of the literature.
Funct Neurol.
2002;
17
211-219
Reference Ris Wihthout Link
- 17
Goadsby P J, Lipton R B.
A review of paroxysmal hemicranias, SUNCT syndrome and other short-lasting headaches
with autonomic feature, including new cases.
Brain.
1997;
120
193-209
Reference Ris Wihthout Link
- 18
Gobel H, Lindner V, Heinze A, Ribbat M, Deuschl G.
Acute therapy for cluster headache with sumatriptan: findings of a one-year long-term
study.
Neurology.
1998;
51
908-911
Reference Ris Wihthout Link
- 19
Göbel H, Petersen-Braun M, Soyka D.
The epidemiology of headache in Germany: a nationwide survey of representative sample
on the basis of the headache classification of the International Headache Society.
Cephalalgia.
1994;
14
97-106
Reference Ris Wihthout Link
- 20
Headache Classification Subcommittee of the International Headache Society .
The International Classification of Headache Disorders: 2nd edition.
Cephalalgia.
2004;
24
(Suppl 1)
9-160
Reference Ris Wihthout Link
- 21
Kavuk I, Katsarava Z, Stang A, Agelink M W, Diener H C.
Neues zur Epidemiologie von Kopfschmerzen.
Fortschr Neurol Psychiatr.
2004;
72
184-191
Reference Ris Wihthout Link
- 22 Kuhn J, Bewermeyer H. Kopf- und Gesichtsschmerzen. 5. Auflage Stuttgart: Schattauer (in press) In: Conen, Griebenow, Meuthen, Schrappe, Steffen (Hrsg.): Internistische Differenzialdiagnostik.
Klinische Pfade und Entscheidungsprozesse in Flussdiagrammen
Reference Ris Wihthout Link
- 23
Kuhn J, Kuhn K F, Cooper-Mahkorn D, Bewermeyer H.
Remitting form of Hemicrania continua: Two new cases exhibiting one unusual autonomic
feature.
Headache.
2005;
in press
Reference Ris Wihthout Link
- 24
Kuhn J, Vosskaemper M, Bewermeyer H.
SUNCT syndrome: a possible bilateral case responding to topiramate.
Neurology.
2005;
in press
Reference Ris Wihthout Link
- 25
Lainez M J, Pascual J, Pascual A M, Santonja J M, Ponz A, Salvador A.
Topiramate in the prophylactic treatment of cluster headache.
Headache.
2003;
43
784-789
Reference Ris Wihthout Link
- 26
Leone M, D’Amico D, Frediani F. et al .
Verapamil in the prophylaxis of episodic cluster headache: a double-blind study versus
placebo.
Neurology.
2000;
54
1382-1385
Reference Ris Wihthout Link
- 27
Loder E W, Biondi D M.
Off-label prescribing of drugs in specialty headache practice.
Headache.
2004;
44
6366-6341
Reference Ris Wihthout Link
- 28
Markley H G.
Topical agents in the treatment of cluster headache.
Curr Pain Headache Rep.
2003;
7
139-143
Reference Ris Wihthout Link
- 29
Matharu M S, Cohen A S, Boes C J, Goadsby P J.
Short-lasting unilateral neuralgiform headache with conjunctival injection and tearing
syndrome: a review.
Curr Pain Headache Rep.
2003;
7
308-318
Reference Ris Wihthout Link
- 30
Matharu M S, Cohen A S, McGonigle D J, Ward N, Frackowiak R S, Goadsby P J.
Posterior hypothalamic and brainstem activation in hemicrania continua.
Headache.
2004;
44
747-761
Reference Ris Wihthout Link
- 31
Matharu M S, Goadsby P J.
Trigeminal autonomic cephalgias.
J Neurol Neurosurg Psychiatry.
2002;
72
(Suppl 2)
ii19-ii26
Reference Ris Wihthout Link
- 32
May A, Bahra A, Buchel C, Frackowiak R S, Goadsby P J.
Hypothalamic activation in cluster headache attacks.
Lancet.
1998;
352
275-278
Reference Ris Wihthout Link
- 33
May A, Bahra A, Buchel C, Turner R, Goadsby P J.
Functional magnetic resonance imaging in spontaneous attacks of SUNCT: short-lasting
neuralgiform headache with conjunctival injection and tearing.
Ann Neurol.
1999;
46
791-794
Reference Ris Wihthout Link
- 34
May A, Evers S, Straube A, Pfaffenrath V, Diener H C.
Therapie und Prophylaxe von Cluster Kopfschmerzen und anderen Trigemino-Autonomen
Kopfschmerzen. Überarbeitete Empfehlungen der Deutschen Migräne- und Kopfschmerzgesellschaft.
Nervenheilkunde.
2004;
23
478-490
Reference Ris Wihthout Link
- 35
May A.
The trigeminovascular system in the human. Cerebral blood flow, functional imaging
and primary headache.
Nervenarzt.
2003;
74
1067-1077
Reference Ris Wihthout Link
- 36
McGeeney B E.
Topiramate in the treatment of cluster headache.
Curr Pain Headache Rep.
2003;
7
135-138
Reference Ris Wihthout Link
- 37
Newman L C, Lipton R B, Solomon S.
Hemicrania continua: ten new cases and a review of the literature.
Neurology.
1994;
44
2111-2114
Reference Ris Wihthout Link
- 38
Peres M F, Silberstein S D, Nahmias S. et al .
Hemicrania continua is not that rare.
Neurology.
2001;
57
948-951
Reference Ris Wihthout Link
- 39
Pinessi L, Rainero I, Cicolin A, Zibetti M, Gentile S, Mutani R.
Hypnic headache syndrome: association of the attacks with REM sleep.
Cephalalgia.
2003;
23
150-154
Reference Ris Wihthout Link
- 40
Raskin N H.
The hypnic headache syndrome.
Headache.
1988;
28
534-536
Reference Ris Wihthout Link
- 41
Robbins L.
Intranasal lidocaine for cluster headache.
Headache.
1995;
35
83-84
Reference Ris Wihthout Link
- 42
Rossi P, Cesarino F, Faroni J, Malpezzi M G, Sandrini G, Nappi G.
SUNCT syndrome successfully treated with topiramate: case reports.
Cephalalgia.
2003;
23
998-1000
Reference Ris Wihthout Link
- 43
Sibon I, Ghorayeb I, Henry P.
Successful treatment of hypnic headache syndrome with acetazolamide.
Neurology.
2003;
61
1157-1158
Reference Ris Wihthout Link
- 44
Silberstein S D, Niknam R, Rozen T D, Young W B.
Cluster headache with aura.
Neurology.
2000;
54
219-221
Reference Ris Wihthout Link
- 45
Sjaastad O, Dale I.
A new (?) Clinical headache entity „chronic paroxysmal hemicrania” 2.
Acta Neurol Scand.
1976;
54
140-159
Reference Ris Wihthout Link
- 46
Sjaastad O, Dale I.
Evidence for a new (?), treatable headache entity.
Headache.
1974;
14
105-108
Reference Ris Wihthout Link
- 47
Sjaastad O, Saunte C, Salvesen R. et al .
Shortlasting unilateral neuralgiform headache attacks with conjunctival injection,
tearing, sweating, and rhinorrhea.
Cephalalgia.
1989;
9
147-156
Reference Ris Wihthout Link
- 48
Sjaastad O, Spierings E L.
„Hemicrania continua”: another headache absolutely responsive to indomethacin.
Cephalalgia.
1984;
4
65-70
Reference Ris Wihthout Link
- 49
Soyka D, Spitzer M.
Die internationale Klassifikation von Kopfschmerzerkrankungen. 2. Auflage.
Nervenheilkunde.
2003;
22
531-670
Reference Ris Wihthout Link
- 50
Spierings E L.
Episodic and chronic paroxysmal hemicrania.
Clin J Pain.
1992;
8
44-48
Reference Ris Wihthout Link
- 51
van Vliet J A, Bahra A, Martin V. et al .
Intranasal sumatriptan in cluster headache: randomized placebo-controlled double-blind
study.
Neurology.
2003;
60
630-633
Reference Ris Wihthout Link
Dr. med. Jens Kuhn
Neurologische Klinik, Kliniken der Stadt Köln, Krankenhaus Merheim
Ostmerheimer Straße 200
51109 Köln
Phone: +49/221/89073775
Fax: +49/221/89073772
Email: JKuhn11@aol.com