Hypothalamic deep brain stimulation and bilateral occipital nerve stimulation - new invasive procedures may help treat patients with chronic refractory headache (cluster headache).

Treating the pain attacks with trioptans or inhalation of pure oxygen is effective and well supported by scientific evidence. According to the authors, verapamil is the medication of choice for the purpose of prophylaxis, with onset of effectiveness within the first week. Lithium is an alternative, especially for treating the chronic disease.
The study has been published in the current issue of Deutsches Arzteblatt International.
Source-ANI