Clusterheadaches.com Message Board


    
      
        Clusterheadaches.com Message Board
        (http://www.clusterheadaches.com/cgi-bin/yabb/YaBB.cgi)
      

        Cluster Headache Help and Support >> Cluster Headache Specific >> cluster can turn into chronic??
        
(Message started by: splendid on Jun 26^th, 2007, 1:08am)

Title: cluster can turn into chronic??
Post by splendid on Jun 26^th, 2007, 1:08am

Is this so????

Title: Re: cluster can turn into chronic??
Post by Ray on Jun 26^th, 2007, 1:16am

Yes. Episodic can turn chronic and vice versa.

Sorry,

Ray

Title: Re: cluster can turn into chronic??
Post by George_J on Jun 26^th, 2007, 1:21am

Or not.

One day at a time, one cycle at a time, one hit at a time.

Best wishes,

George

Title: Re: cluster can turn into chronic??
Post by Brewcrew on Jun 26^th, 2007, 7:02am

If you go one year without a pain-free break of 30 days or more, you are, by definition, chronic.

Title: Re: cluster can turn into chronic??
Post by Bob_Johnson on Jun 26^th, 2007, 12:01pm

Curr Pain Headache Rep. 2002 Feb;6(1):65-70.

What predicts evolution from episodic to chronic cluster headache?

Torelli P, Manzoni GC.

Headache Centre, Institute of Neurology, Strada del Quartiere, 4, Parma 43100, Italy. paolatorelli@libero.it

Over the last few years, attention has increasingly been focused on the evolution of cluster headache over time. Predictive factors have been identified that are correlated with an increased risk of unfavorable evolution from the episodic form to the chronic form of cluster headache. Late onset, the presence of sporadic attacks, a high frequency of cluster periods, and short-lived duration of remission periods when the headache is still in its episodic form all correlate with a possible worsening of the clinical picture over time. The reasons for evolution of episodic cluster headache to chronic are still unknown, but some factors, such as head trauma and other lifestyle factors--eg, cigarette smoking and alcohol intake--have been suggested as having a negative influence on the course of cluster headache over time.

PMID: 11749880
--------------------------------------------------------------------------------------------------------
J Headache Pain. 2005 Feb;6(1):3-9. Epub 2005 Jan 25.

Chronic cluster headache: a review.

Favier I, Haan J, Ferrari MD.

Department of Neurology, K5-Q Leiden University Medical Centre, 9600, 2300 RC Leiden, The Netherlands.

Cluster headache (CH) is a rare but severe headache disorder characterised by repeated unilateral head pain attacks accompanied by ipsilateral autonomic features. In episodic CH, there are periods of headache attacks with pain-free intervals of weeks, months or years in between. A minority of patients have the chronic form, without pain-free intervals between the headache attacks. Chronic CH can occur as primary or secondary chronic CH; the rarest form is episodic CH arising from chronic CH. In this article, we give a review of the chronic forms of CH and focus on demographics, clinical manifestations, social habits, predictive factors, head injury, genetics, neuroimaging and therapy. It is remarkable that little is known about risk factors that make CH chronic.

PMID: 16362185

Title: Re: cluster can turn into chronic??
Post by taraann on Jun 26^th, 2007, 4:19pm

But don't stress about it. If it happens it happens, no use in worrying about it.

Title: Re: cluster can turn into chronic??
Post by horsegirl on Jun 26^th, 2007, 6:01pm

who's worried, why stress over maybe someday becomming chronic,what!thats my bigest fear. yikes,alright I'm ok now,keep positive have faith,one day at a time,and be thankful for every pf moment.

Title: Re: cluster can turn into chronic??
Post by UN solved on Jun 26^th, 2007, 6:36pm

The odds of a clusterhead becoming 'chronic' are still stated as low ( 10% - 15% ) ... so I wouldn't stress over it.

Yes, it is possible to turn chronic though. I was episodic for the first 12 years. Now, chronic for 7 years. :-/

PF Wishes

UNsolved

Title: Re: cluster can turn into chronic??
Post by Brewcrew on Jun 26^th, 2007, 8:05pm

And you can flip-flop between the two. I am currently episodic (started out that way in 1990), but have had two 18-month episodes in there where I couldn't catch a break without the in-patient IV-DHE treatment.

So don't sweat it so much. It's not like a death sentence or anything. ;)

Title: Re: cluster can turn into chronic??
Post by MR_FLOOR on Jun 26^th, 2007, 10:54pm

Been chronic since day 1, 28 years.But I did have histamine desensitization twice and I went 8 years with only 1 to 2 ch per month the first time and 2 years with 1or 2 ch per month the second time I call that pain free the chronic way.

Dave