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Posttraumatic headaches usually have tension-type or migraine-like characteristics. A correlation between head trauma and cluster headaches (CH) has been previously reported. CH in
children are rare and require thorough differential diagnosis. We present an original case of a
15-year-old boy with cluster headaches associated with allodynia probably evoked by a neck
trauma. Severe headache attacks started one month after neck trauma. At the beginning
clinical presentation of our patient's headaches was very misleading. Headaches were
bilateral and associated with infection. Initial diagnosis of sinusitis was made. During further
observation headaches have become unilateral with typical for CH associated symptoms and
additionally with allodynia. Other causes of secondary CH like cervicogenic headaches, brain
tumor and vascular malformation have been excluded. The boy has undergone prophylactic
treatment based on flunarizine and gabapentin with good result. Possible pathogenesis of our
patient's headaches has been proposed and diagnostic traps discussed.
Poza zaznaczonymi wyjątkami, licencja tej pozycji opisana jest jako Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa