Diagnosis and management of cluster headaches.

Cluster headaches are vascular headaches that predominantly affect males and occur frequently, with cyclic regularity. Treatment is predominantly pharmacological in nature and is divided into symptomatic and prophylactic relief. This article discusses the pathogenesis, clinical features, and current prophylactic and symptomatic treatments used with cluster headaches.

Prophylactic treatment of cluster headache with verapamil.

An open study of verapamil in cluster headache is reported. Forty-eight patients participated in the study of whom 33 (= 69%) improved more than 75%. No significant differences in response were observed between episodic and chronic cluster headache.