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Dtsch Med Wochenschr 2005; 130(19): 1221-1226
DOI: 10.1055/s-2005-868706
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Neurologie
© 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 headachesJ. Kuhn1 , H. Bewermeyer1
  • 1Neurologische Klinik, Kliniken der Stadt Köln
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Publication History

eingereicht: 30.12.2004

akzeptiert: 14.4.2005

Publication Date:
04 May 2005 (online)

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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.

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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