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Cluster Headache Help and Support >> Cluster Headache Specific >> hereditary? http://www.clusterheadaches.com/cgi-bin/yabb2/YaBB.pl?num=1322021239 Message started by bm7680 on Nov 22nd, 2011 at 11:07pm |
Title: hereditary? Post by bm7680 on Nov 22nd, 2011 at 11:07pm
Can anyone tell me if this curse is hereditary because my father and my sister have it as well as myself?
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Title: Re: hereditary? Post by LasVegas on Nov 23rd, 2011 at 12:33am
Unfortunate for your family that 3 of you are afflicted with this disease. On the bright side, you have a strong support team that is 100% understanding.
See article below about CH's, specifically the highlighted section below about hereditary factors. Leroux E, Ducros A. ABSTRACT: Cluster headache (CH) is a primary headache disease characterized by recurrent short-lasting attacks (15 to 180 minutes) of excruciating unilateral periorbital pain accompanied by ipsilateral autonomic signs (lacrimation, nasal congestion, ptosis, miosis, lid edema, redness of the eye). It affects young adults, predominantly males. Prevalence is estimated at 0.5-1.0/1,000. CH has a circannual and circadian periodicity, attacks being clustered (hence the name) in bouts that can occur during specific months of the year. ALCOHOL IS THE ONLY DIETARY TRIGGER OF CH, STRONG ODORS (MAINLY SOLVENTS AND CIGARETTE SMOKE) AND NAPPING MAY ALSO TRIGGER CH ATTACKS. During bouts, attacks may happen at precise hours, especially during the night. During the attacks, patients tend to be restless. CH may be episodic or chronic, depending on the presence of remission periods. CH IS ASSOCIATED WITH TRIGEMINOVASCULAR ACTIVATION AND NEUROENDOCRINE AND VEGETATIVE DISTURBANCES, HOWEVER, THE PRECISE CAUSATIVE MECHANISMS REMAIN UNKNOWN. Involvement of the hypothalamus (a structure regulating endocrine function and sleep-wake rhythms) has been confirmed, explaining, at least in part, the cyclic aspects of CH. The disease is familial in about 10% of cases. Genetic factors play a role in CH susceptibility, and a causative role has been suggested for the hypocretin receptor gene. Diagnosis is clinical. Differential diagnoses include other primary headache diseases such as migraine, paroxysmal hemicrania and SUNCT syndrome. At present, there is no curative treatment. There are efficient treatments to shorten the painful attacks (acute treatments) and to reduce the number of daily attacks (prophylactic treatments). Acute treatment is based on subcutaneous administration of sumatriptan and high-flow oxygen. Verapamil, lithium, methysergide, prednisone, greater occipital nerve blocks and topiramate may be used for prophylaxis. In refractory cases, deep-brain stimulation of the hypothalamus and greater occipital nerve stimulators have been tried in experimental settings.THE DISEASE COURSE OVER A LIFETIME IS UNPREDICTABLE. Some patients have only one period of attacks, while in others the disease evolves from episodic to chronic form. PMID: 18651939 [PubMed] |
Title: Re: hereditary? Post by LasVegas on Nov 23rd, 2011 at 12:39am
At the top of the message board, you will see a thread titled "NEW - Survey data to be published in HEADACHE!"
This is the most recent survey about CH's. NOTE: This was not a worldwide study, only USA sufferers. Here is an excerpt about genetics.... "Family History of Cluster Headache.—Of the sur- veyed patients, 82% denied a family history of cluster headache. Of those with a positive family history, a first-degree relative was noted in 17%, with fathers being the most commonly cited relative in 6%, while mothers were noted to have cluster headache in 3%." Keep in mind that females are more commonly mis-diagnosed than men, so I believe the % of mothers afflicted by CH's may actually be higher. Thoughts? |
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