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Published in: Current Pain and Headache Reports 2/2010

01-04-2010

Allodynia in Cluster Headache

Author: Avi Ashkenazi

Published in: Current Pain and Headache Reports | Issue 2/2010

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Abstract

Cutaneous allodynia (CA), the perception of pain when a non-noxious stimulus is applied to normal skin, has been described in various pain syndromes. The pathophysiology of CA in headache is thought to be related to central sensitization of brainstem, and possibly thalamic, neurons. The recognition of CA in cluster headache (CH) is recent, and available data are scant. Some studies suggest the occurrence of CA in a significant proportion of CH patients. However, one study that examined sensory thresholds in CH failed to confirm this. CA in CH is characterized by rapid onset and termination, suggesting different mechanisms compared with CA in migraine. CA in CH is common in trigeminal areas but may spread to cervical dermatomes and beyond. The relations between the type of CH (episodic vs chronic) and CA are unknown. Further studies are needed to determine the mechanism of CA in CH, and its clinical implications.
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Metadata
Title
Allodynia in Cluster Headache
Author
Avi Ashkenazi
Publication date
01-04-2010
Publisher
Current Science Inc.
Published in
Current Pain and Headache Reports / Issue 2/2010
Print ISSN: 1531-3433
Electronic ISSN: 1534-3081
DOI
https://doi.org/10.1007/s11916-010-0097-7

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