When I first joined Lord (then Dr) Walton's unit in September of 1962, I was immediately impressed not only by his unique expertise in muscle diseases, but also by his encyclopaedic knowledge of medicine, and his versatility. Not surprisingly this caused digressions which strayed from the myofibril; one such diversion took him and my colleague, John Balla, into the field of cluster headache or ...

This paper reviews the diagnostic features of cluster headache-like disorder and describes its presentation in childhood. Case note summaries of patients with this condition are presented in the context of a brief summary of the literature. Four patients (two girls; aged 12 to 15 years) with cluster headache-like disorder were seen over a period of four years in the paediatric neurology departm...

A study was carried out on headache after carotid endarterectomy. A specific type of headache, similar in its characteristics to "cluster headache", occurred on the operative side in 30% of 54 patients, whereas no such headache occurred after extra-intracranial bypass or peripheral vascular surgery. This postoperative headache was not spontaneously reported by 56% of patients unless they were s...

A 63-year-old male experienced 3 years of excruciating, right retro-orbital, 15–90 minute headaches occurring 1 to 3 times daily associated with ipsilateral lacrimation, ptosis, and facial congestion. The episodes began after a complicated right root canal procedure. He also reported separate episodes of distinct left sided facial flushing triggered by exertion as evidenced by a photo that he p...

Cluster headache pain is very intense, usually increases in intensity very rapidly from onset, and attacks are often frequent. These clinical features result in significant therapeutic challenges. The most effective pharmacological treatment options for acute cluster attack include subcutaneous sumatriptan, 100% oxygen, and intranasal zolmitriptan. Subcutaneous or intramuscular dihydroergotamin...