Cluster headache in childhood: Case series from a pediatric headache center

Rosanna Mariani, Alessandro Capuano, Roberto Torriero, Samuela Tarantino, Enrico Properzi, Federico Vigevano, Massimiliano Valeriani

Research output: Contribution to journalArticlepeer-review


Childhood-onset cluster headache is an excruciatingly painful and distressing condition. A retrospective study was conducted on charts of patients referring to our Headache Center. Those diagnosed as cluster headache were selected. We identified 11 children (6 males and 5 females). The mean age of cluster headache onset was 10 years (range: 5-16). All children had episodic cluster headache. All children had unilateral orbital pain; 7 patients had throbbing pain, whereas 4 children complained stabbing pain. The mean duration of the attack was 86 minutes (ranging from 30 to 180 minutes). The frequency of episodes was between 1 and 4 per day. All children had the typical cluster headache autonomic features, such as lacrimation, conjunctival injection, ptosis, and nostril rhinorrhea. Steroids showed a good clinical efficacy in interrupting cluster headache recurrence. As symptomatic drugs, acetaminophen as well as ibuprofen were ineffective; indomethacin was effective in 1 case.

Original languageEnglish
Pages (from-to)62-65
Number of pages4
JournalJournal of Child Neurology
Issue number1
Publication statusPublished - Jan 2014


  • autonomic
  • autonomic features
  • cluster headache
  • lacrimation
  • pain
  • ptosis
  • rhinorrhea

ASJC Scopus subject areas

  • Clinical Neurology
  • Pediatrics, Perinatology, and Child Health


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