{"id":"https://openalex.org/W7217501980","doi":null,"title":"Cluster-tic syndrome \u2013 10 anos at\u00e9 o diagn\u00f3stico \u2013 Um relato de caso","display_name":"Cluster-tic syndrome \u2013 10 anos at\u00e9 o diagn\u00f3stico \u2013 Um relato de caso","publication_year":2024,"publication_date":"2024-08-01","ids":{"openalex":"https://openalex.org/W7217501980"},"language":"en","primary_location":{"id":"pmh:oai:headachemedicine.com.br:article/1251","doi":null,"is_oa":true,"landing_page_url":"https://headachemedicine.com.br/hm/article/view/1251","pdf_url":"https://headachemedicine.com.br/hm/article/download/1251/1833","source":{"id":"https://openalex.org/S4210188313","display_name":"Headache Medicine/Revista Headache Medicine","issn_l":"2178-7468","issn":["2178-7468","2763-6178"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"10.48208/HeadacheMed.2024/","raw_type":"info:eu-repo/semantics/article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["doaj"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://headachemedicine.com.br/hm/article/download/1251/1833","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5040238914","display_name":"Pedro Neri","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Neri, Pedro","raw_affiliation_strings":["S\u00f3cio"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"S\u00f3cio","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5155618671","display_name":"Pedro Rubens Ara\u00fajo Carvalho Carvalho","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Carvalho, Pedro Rubens Araujo de","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5154499017","display_name":"Morgana Feitosa de Queiroga","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Queiroga, Morgana Feitosa de","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5025348474","display_name":"Raimundo Neudson Maia Alc\u00e2ntara","orcid":"https://orcid.org/0000-0003-1927-926X","observed_orcids":["https://orcid.org/0000-0003-1927-926X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Alcantara, Raimundo Neudson Maia","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113097960","display_name":"M\u00e1rio Hermes Rios Fran\u00e7a","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Franca, Mario Hermes Rios","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5046552578","display_name":"Luiz Gonzaga Nogueira","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Junior, Luiz Gonzaga Nogueira","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5083906599","display_name":"Renata de Oliveira Carvalho","orcid":"https://orcid.org/0000-0002-2410-1637","observed_orcids":["https://orcid.org/0000-0002-2410-1637"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Carvalho, Renata de Oliveira","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5121889553","display_name":"Enzo Lima Alc\u00e2ntara Parente","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Parente, Enzo Lima Alc\u00e2ntara","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5156298041","display_name":"Jo\u00e3o V\u00edtor Moreira Nogueira","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Nogueira, Jo\u00e3o V\u00edtor Moreira","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5155662166","display_name":"Rafaella Iughetti da Costa","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Costa, Rafaella Iughetti da","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10498","display_name":"Migraine and Headache Studies","score":0.86080002784729,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10498","display_name":"Migraine and Headache Studies","score":0.86080002784729,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12193","display_name":"Trigeminal Neuralgia and Treatments","score":0.13330000638961792,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11840","display_name":"Pain Management and Treatment","score":0.0006000000284984708,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/trigeminal-neuralgia","display_name":"trigeminal neuralgia","score":0.968999981880188},{"id":"https://openalex.org/keywords/cluster-headache","display_name":"cluster headache","score":0.9990000128746033},{"id":"https://openalex.org/keywords/delayed-diagnosis","display_name":"delayed diagnosis","score":0.6800000071525574},{"id":"https://openalex.org/keywords/episodic-migraine","display_name":"episodic migraine","score":0.5460000038146973},{"id":"https://openalex.org/keywords/occipital-nerve-block","display_name":"occipital nerve block","score":0.746999979019165},{"id":"https://openalex.org/keywords/sumatriptan","display_name":"sumatriptan","score":0.9549999833106995},{"id":"https://openalex.org/keywords/autonomic-dysfunction","display_name":"autonomic dysfunction","score":0.6819999814033508},{"id":"https://openalex.org/keywords/misdiagnosis","display_name":"misdiagnosis","score":0.5809999704360962}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9293000102043152},{"id":"https://openalex.org/C2777942821","wikidata":"https://www.wikidata.org/wiki/Q166907","display_name":"Cluster headache","level":3,"score":0.7379000186920166},{"id":"https://openalex.org/C2777350023","wikidata":"https://www.wikidata.org/wiki/Q1154226","display_name":"Aura","level":3,"score":0.6657999753952026},{"id":"https://openalex.org/C2909221823","wikidata":"https://www.wikidata.org/wiki/Q5063252","display_name":"Cephalalgia","level":3,"score":0.5848000049591064},{"id":"https://openalex.org/C2778871607","wikidata":"https://www.wikidata.org/wiki/Q416978","display_name":"Sumatriptan","level":4,"score":0.5795000195503235},{"id":"https://openalex.org/C2778541695","wikidata":"https://www.wikidata.org/wiki/Q133823","display_name":"Migraine","level":2,"score":0.5792999863624573},{"id":"https://openalex.org/C2777601897","wikidata":"https://www.wikidata.org/wiki/Q3409113","display_name":"Presentation (obstetrics)","level":2,"score":0.4244000017642975},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.41040000319480896},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.39730000495910645},{"id":"https://openalex.org/C2780355897","wikidata":"https://www.wikidata.org/wiki/Q1132120","display_name":"Trigeminal neuralgia","level":2,"score":0.39500001072883606},{"id":"https://openalex.org/C12770488","wikidata":"https://www.wikidata.org/wiki/Q188449","display_name":"Neurosurgery","level":2,"score":0.38420000672340393},{"id":"https://openalex.org/C2778650131","wikidata":"https://www.wikidata.org/wiki/Q935781","display_name":"Hyperhidrosis","level":2,"score":0.35740000009536743},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.3529999852180481},{"id":"https://openalex.org/C105572291","wikidata":"https://www.wikidata.org/wiki/Q7002775","display_name":"Neurovascular bundle","level":2,"score":0.3330000042915344},{"id":"https://openalex.org/C16568411","wikidata":"https://www.wikidata.org/wiki/Q83042","display_name":"Neurology","level":2,"score":0.3240000009536743},{"id":"https://openalex.org/C2776497919","wikidata":"https://www.wikidata.org/wiki/Q739481","display_name":"Migraine with aura","level":4,"score":0.310699999332428},{"id":"https://openalex.org/C2780966972","wikidata":"https://www.wikidata.org/wiki/Q86","display_name":"Headaches","level":2,"score":0.3010999858379364},{"id":"https://openalex.org/C206179267","wikidata":"https://www.wikidata.org/wiki/Q188952","display_name":"Medical history","level":2,"score":0.2996000051498413},{"id":"https://openalex.org/C2780596822","wikidata":"https://www.wikidata.org/wiki/Q623289","display_name":"Dysphagia","level":2,"score":0.29829999804496765},{"id":"https://openalex.org/C3019396726","wikidata":"https://www.wikidata.org/wiki/Q25104748","display_name":"Conservative treatment","level":2,"score":0.273499995470047},{"id":"https://openalex.org/C2982822547","wikidata":"https://www.wikidata.org/wiki/Q179661","display_name":"Medical treatment","level":2,"score":0.26809999346733093},{"id":"https://openalex.org/C2779231881","wikidata":"https://www.wikidata.org/wiki/Q5977147","display_name":"Medical literature","level":2,"score":0.26510000228881836},{"id":"https://openalex.org/C2780016216","wikidata":"https://www.wikidata.org/wiki/Q1136940","display_name":"Neuralgia","level":3,"score":0.25369998812675476}],"mesh":[],"locations_count":3,"locations":[{"id":"pmh:oai:headachemedicine.com.br:article/1251","doi":null,"is_oa":true,"landing_page_url":"https://headachemedicine.com.br/hm/article/view/1251","pdf_url":"https://headachemedicine.com.br/hm/article/download/1251/1833","source":{"id":"https://openalex.org/S4210188313","display_name":"Headache Medicine/Revista Headache Medicine","issn_l":"2178-7468","issn":["2178-7468","2763-6178"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"10.48208/HeadacheMed.2024/","raw_type":"info:eu-repo/semantics/article"},{"id":"pmh:oai:doaj.org/article:413506ee9ecf4194a2f8f80cf44efe9e","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/413506ee9ecf4194a2f8f80cf44efe9e","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Headache Medicine, Vol 15, Iss Supplement (2024)","raw_type":"article"},{"id":"pmh:oai:doaj.org/article:fdca872546634cc89f6ff158dffb1c48","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/fdca872546634cc89f6ff158dffb1c48","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Headache Medicine, Vol 15, Iss Supplement (2024)","raw_type":"article"}],"best_oa_location":{"id":"pmh:oai:headachemedicine.com.br:article/1251","doi":null,"is_oa":true,"landing_page_url":"https://headachemedicine.com.br/hm/article/view/1251","pdf_url":"https://headachemedicine.com.br/hm/article/download/1251/1833","source":{"id":"https://openalex.org/S4210188313","display_name":"Headache Medicine/Revista Headache Medicine","issn_l":"2178-7468","issn":["2178-7468","2763-6178"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"10.48208/HeadacheMed.2024/","raw_type":"info:eu-repo/semantics/article"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7217501980.pdf","grobid_xml":"https://content.openalex.org/works/W7217501980.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W7217782300","https://openalex.org/W7104733449","https://openalex.org/W4416692206","https://openalex.org/W1998205542","https://openalex.org/W4242292092","https://openalex.org/W4407346781","https://openalex.org/W7098828182","https://openalex.org/W1966700483","https://openalex.org/W2322219333","https://openalex.org/W1966981143"],"abstract_inverted_index":{"Introduction:":[0],"Cluster-Tic":[1],"syndrome":[2,298],"is":[3,17],"characterized":[4],"by":[5,136],"the":[6,27,54,77,81,85,98,137,145,149,158,194,199,202,228,232,238,244,257,270,275,293,318],"coexistence":[7],"of":[8,22,49,84,128,139,198,231,295,315],"elements":[9],"from":[10],"trigeminal":[11],"neuralgia":[12],"and":[13,92,103,112,132,173,180,243,278,306],"cluster":[14,251],"headache,":[15,222],"which":[16,52,87],"a":[18,32,50,214,219,224,247,267,284,304,312],"questioned":[19],"entity":[20],"because":[21],"its":[23],"heterogeneous":[24],"presentation":[25],"in":[26,76,193,211,283,311],"cases":[28],"described.":[29],"Objective:":[30],"Describe":[31],"case":[33],"that":[34],"took":[35],"about":[36,89,121,129],"10":[37,65,155],"years":[38,66],"to":[39,117,148,161,217,250,292,303],"be":[40,134],"assertively":[41],"diagnosed.":[42],"Case":[43],"report:":[44],"30-year-old":[45],"patient,":[46],"doctor,":[47],"history":[48],"headache":[51,75,252],"met":[53],"criteria":[55],"for":[56,164,269,317],"low":[57],"frequency":[58],"episodic":[59],"migraine":[60],"without":[61,189],"aura":[62],"since":[63],"childhood.":[64],"ago,":[67],"during":[68,97,120,153,201,256,263,287],"medical":[69],"school,":[70],"presented":[71],"an":[72,125,170,190,209],"intense":[73],"stabbing":[74],"V2":[78],"territory":[79],"on":[80,144,227],"left":[82,276],"side":[83,230],"head":[86],"lasted":[88],"30":[90],"minutes":[91],"did":[93,167],"not":[94,142,168],"get":[95,169],"better":[96],"attacks,":[99],"associated":[100,272],"with":[101,253,273],"agitation":[102],"ipsilateral":[104],"dysautonomia":[105],"symptoms":[106],"such":[107],"as":[108,259,261,266],"conjunctival":[109],"hyperemia,":[110],"semi-ptosis":[111],"tearing.":[113],"These":[114],"episodes":[115],"used":[116],"happen":[118],"daily":[119],"6":[122,264],"weeks,":[123],"presenting":[124],"inter-crisis":[126],"period":[127],"2":[130],"years,":[131],"could":[133],"triggered":[135],"consumption":[138],"alcoholic":[140],"beverages,":[141],"depending":[143],"quantity.":[146],"Due":[147,291],"prominent":[150],"algic":[151],"syndrome,":[152],"this":[154,236],"year":[156],"period,":[157],"patient":[159,205],"went":[160,207],"many":[162,174],"neurologists":[163],"help,":[165],"but":[166],"assertive":[171],"diagnosis":[172,240],"prophylactic":[175,268],"(amitriptyline,":[176],"venlafaxine,":[177],"botulinum":[178],"toxin)":[179],"abortive":[181],"(NSAIDs,":[182],"triptans,":[183],"corticosteroid)":[184],"medications":[185],"were":[186],"prescribed":[187],",":[188],"adequate":[191],"answer":[192],"prevention":[195],"or":[196],"improvement":[197],"pain":[200],"attacks.":[203],"The":[204],"also":[206],"through":[208],"investigation":[210],"2018":[212],"using":[213],"brain":[215],"MRI":[216],"discover":[218],"possible":[220],"secondary":[221],"evidencing":[223],"neurovascular":[225],"conflict":[226],"opposite":[229],"patient\u2019s":[233],"symptom.":[234],"In":[235],"context,":[237],"cluster-tic":[239,297],"was":[241],"confirmed":[242],"doctors":[245],"tried":[246],"treatment":[248],"directed":[249],"subcutaneous":[254],"sumatriptan":[255],"crisis,":[258],"well":[260],"verapamil":[262],"weeks":[265],"attacks":[271],"blocking":[274],"lesser":[277],"major":[279],"occipital":[280],"nerves,":[281],"resulting":[282,310],"positive":[285],"response":[286],"both":[288],"treatments.":[289],"Conclusion:":[290],"variety":[294],"presentations,":[296],"can":[299],"go":[300],"unnoticed,":[301],"leading":[302],"diagnostic":[305],"therapeutic":[307],"delay,":[308],"consequently":[309],"reduced":[313],"quality":[314],"life":[316],"patient.":[319]},"counts_by_year":[],"updated_date":"2026-10-28T10:33:24.094632","created_date":"2026-10-03T00:00:00"}