Details

Autor(en) / Beteiligte

• Bjørk, Marte‐Helene
• Kristoffersen, Espen Saxhaug
• Tronvik, Erling
• Egeland Nordeng, Hedvig Marie

Titel

Management of cluster headache and other trigeminal autonomic cephalalgias in pregnancy and breastfeeding

Ist Teil von

• European journal of neurology, 2021-07, Vol.28 (7), p.2443-2455

Ort / Verlag

England: John Wiley & Sons, Inc

Erscheinungsjahr

2021

Link zum Volltext

Quelle

Wiley Online Library

Beschreibungen/Notizen

• Many clinicians lack experience in managing trigeminal autonomic cephalalgias (TACs) in pregnancy and lactation. In addition to cluster headache, TACs include hemicrania continua, paroxysmal hemicrania, and short‐lasting unilateral neuralgiform headache with conjunctival injection and tearing/autonomic symptoms (SUNCT/SUNA). Treating these rare, severe headache conditions often requires off‐label drugs that have uncertain teratogenic potential. In the last few years, several new treatment options and safety documentation have emerged, but clinical guidelines are lacking. This narrative review aimed to provide an updated clinical guide and good clinical practice recommendations for the management of these debilitating headache disorders in pregnancy and lactation. Cluster headache and other trigeminal autonomic headaches can be difficult to handle in pregnancy and during breastfeeding. This review provides advice for doctors, nurses, and patients.