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Posted by Bob P ( on December 09, 2000 at 10:31:20:

In Reply to: SKOR, an apology and a plea, posted by judyw on December 09, 2000 at 06:46:14:

This is from a paper written by Goadsby. He states that although migraine and CH may share the same pathway, they are two different types of headache. CH is not in the migraine family. It is a distinctly different type of headache. Doctors need to realize this.

"In contrast to migraine, no brain stem activation was found during the acute attack compared with the resting state. This finding is remarkable because migraine and cluster headache are often discussed as associated disorders and similar compounds, such as ergotamine and sumatriptan, are used in the acute treatment of both types of headache. These data suggest that while primary headaches, such as migraine and cluster headache, may share a common pain pathway (the trigeminovascular innervation), the underlying pathogenesis differs substantially as might be inferred from the different patterns of presentation and responses to preventive agents."

This article as well as many others are in the OUCH library. It should be required reading for anyone truly interested in understanding CH.

Bob P

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