1043-3155 Pediatr Neurol Briefs pedneurbriefs Pediatr Neurol Briefs Pediatric Neurology Briefs Pediatr Neurol Briefs 2166-6482 1043-3155 2166-3155 Pediatric Neurology Briefs Publishers Chicago, IL, USA PNB-6-59 10.15844/pedneurbriefs-6-8-4 Headache Disorders Neurology Pediatrics Nervous System Diseases Child Development Brain Diseases Neurosurgery Child Infant Childhood Cluster Headaches http://orcid.org/0000-0002-0173-7931 Millichap J. Gordon MD 1 2 * Division of Neurology, Children's Memorial Hospital, Chicago, IL Departments of Pediatrics and Neurology, Northwestern University Feinberg School of Medicine, Chicago, IL Correspondence: Dr. J. Gordon Millichap, E-mail: jgmillichap@northwestern.edu 08 1992 01 07 2016 6 8 59 60 Copyright: © 1992 The Author(s) 1992 This work is licensed under the Creative Commons Attribution 4.0 International License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Childhood onset cluster headaches

Cluster headaches similar to the typical adult form occurred in 35 patients at or before 18 years of age in a study from the Montefiore Medical Center and Schneider Children’s Hospital, New York.

 Cluster Headaches Lacrimation Migraine

Cluster headaches similar to the typical adult form occurred in 35 patients at or before 18 years of age in a study from the Montefiore Medical Center and Schneider Children’s Hospital, New York. The mean age at onset was 14 years (range 5-18). The delay from onset to diagnosis ranged from 0 to 34 years (mean 8 years). Pain was ocular in 88% and lacrimation occurred in 85%. Ptosis was present in 48% and nasal congestion in 60%. A family history of migraine occurred in 9 patients and a family history of cluster headaches in 3. The frequency and duration of cluster periods increased with age in 14. [1]

COMMENT. Familial cluster headache occurring in 3 generations is reported from the Brigham and Women’s Hospital, Boston [2]. The child, an 8-year-old boy, had suffered from headaches since age 4; the father age 42, and the paternal grandfather age 73, had cluster headache also. Three pairs of identical twins with cluster headache have been reported, suggesting a genetic factor in predisposition. [3, 4]

 Maytal J Lipton RB Solomon S Shinnar S Childhood onset cluster headaches Headache 1992 Jun 32 6 275 279 10.1111/j.1526-4610.1992.hed3206275.x 1399546 Spierings ELH Vincent AJPE Familial cluster headache: occurrence in three generations Neurology 1992 Jul 42 7 1399 1400 10.1212/WNL.42.7.1399 1620353 Roberge C Headache 1987 22 299 Couturier EGM Hering R Steiner TJ The first report of cluster headache in identical twins Neurology 1991 May 41 5 761 10.1212/WNL.41.5.761 2027500