Trigeminal autonomic headache disorders

Trigeminal autonomic headache disorders (TAC) are a group of attack-like, one-sided headaches in the area of the trigeminal nerve , which are accompanied by autonomic (cannot be influenced) parasympathetic symptoms in the head area, such as B. tears or runny nose. The term "trigeminal-autonomic cephalgias" was first used in 1997 by Peter J. Goadsby and Richard B. Lipton.

In the International Classification of Headache Disorders (IHS-ICHD-III, Version 2018) the following diseases are summarized in the group "Trigemino-autonomic headaches":

The episodic and chronic cluster headache ,
episodic and chronic paroxysmal hemicrania ,
episodic and chronic SUNCT syndrome (Short-lasting unilateral neuralgiform headache with conjunctival injection and tearing),
episodic and chronic SUNA syndrome (Short-lasting unilateral neuralgiform headache attacks with cranial autonomic symptoms) and
the hemicrania continua .

The various forms of trigeminal autonomic headache differ from one another primarily in the time pattern of the attacks in duration and frequency (see table ). The peculiarity of paroxysmal hemicrania and hemicrania continua is that these two diseases usually respond completely to indomethacin . The effectiveness of indomethacin is an obligatory diagnostic criterion for these two diseases.

literature

Headache Classification Committee of the International Headache Society (IHS): The International Classification of Headache Disorders, 3rd edition . In: Cephalalgia . tape 38 , no. 1 , January 2018, p. 1-211 , doi : 10.1177 / 0333102417738202 , PMID 29368949 .
Jes Olesen u. a .: The 2nd edition of the International Headache Society's International Headache Classification (IHS-ICHD-II, 2004).
A. May, S. Evers, G. Brössner, T. Jürgens, AR Gantenbein, V. Malzacher, A. Straube: Guideline for the diagnosis, therapy and prophylaxis of cluster headaches, other trigeminal autonomic headaches, sleep-bound headaches and idiopathic stabbing A headache. - Revised therapy recommendations of the German Migraine and Headache Society in cooperation with the DGN, ÖKSG, SKG. In: Neurology . 35 (3), 2006, pp. 137-151. dmkg.de (PDF)
Stefan Evers, Achim Frese, Martin Marziniak: Differential diagnosis of headaches . In: Deutsches Ärzteblatt , 103, 2006, p. 45.
PJ Goadsby: Trigeminal autonomic cephalgias (TACs) . In: Acta Neurol Belg . tape 101 , no. 1 , March 2001, p. 10-19 , PMID 11379270 ( actaneurologica.be [PDF]).
PJ Goadsby, RB Lipton: A review of paroxysmal hemicranias, SUNCT syndrome and other short-lasting headaches with autonomic feature, including new cases . In: Brain . 120 (Pt 1), January 1997, p. 193-209 , PMID 9055807 .

Individual evidence

↑ PJ Goadsby, RB Lipton: A review of paroxysmal hemicranias, SUNCT syndrome and other short-lasting headaches with autonomic feature, including new cases . In: Brain . 120 (Pt 1), January 1997, p. 193-209 , PMID 9055807 ( oxfordjournals.org ).
^ Headache Classification Committee of the International Headache Society (IHS): The International Classification of Headache Disorders, 3rd edition . In: Cephalalgia . tape 38 , no. 1 , January 2018, p. 1-211 , doi : 10.1177 / 0333102417738202 , PMID 29368949 .

[pmid9055807-1] PJ Goadsby, RB Lipton: A review of paroxysmal hemicranias, SUNCT syndrome and other short-lasting headaches with autonomic feature, including new cases . In: Brain . 120 (Pt 1), January 1997, p. 193-209 , PMID 9055807 ( oxfordjournals.org ).

[ICHD-III-2] Headache Classification Committee of the International Headache Society (IHS): The International Classification of Headache Disorders, 3rd edition . In: Cephalalgia . tape 38 , no. 1 , January 2018, p. 1-211 , doi : 10.1177 / 0333102417738202 , PMID 29368949 .