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Comment on ‘Is conventional brain MRI useful for the diagnosis of cluster headache in patients who meet ICHD-3 criteria? Experience in three hospitals in Spain’

Published:January 26, 2022DOI:https://doi.org/10.1016/j.jns.2022.120175
      Recently, Pérez-Pereda et al. [
      • Pérez-Pereda S.
      • Madera J.
      • González-Quintanilla V.
      • Drake-Pérez M.
      • Marzal Espí C.N.
      • Serrano Munuera C.
      • et al.
      Is conventional brain mri useful for the diagnosis of cluster headache in patients who meet ichd-3 criteria? Experience in three hospitals in Spain.
      ] published an exciting paper in the ‘Journal of the neurological sciences’, suggesting no need to request a brain magnetic resonance imaging (MRI) in all patients with cluster headache (CH), especially in those with typical presentations. It is commonly advised to consider neuroimaging in all patients with trigeminal autonomic cephalgias, including CH [
      • Wilbrink L.A.
      • Ferrari M.D.
      • Kruit M.C.
      • Haan J.
      Neuroimaging in trigeminal autonomic cephalgias: when, how, and of what?.
      ]. However, findings of studies by Pérez-Pereda et al. [
      • Pérez-Pereda S.
      • Madera J.
      • González-Quintanilla V.
      • Drake-Pérez M.
      • Marzal Espí C.N.
      • Serrano Munuera C.
      • et al.
      Is conventional brain mri useful for the diagnosis of cluster headache in patients who meet ichd-3 criteria? Experience in three hospitals in Spain.
      ] or Grangeon et al. [
      • Grangeon L.
      • O’Connor E.
      • Danno D.
      • Ngoc T.M.P.
      • Cheema S.
      • Tronvik E.
      • et al.
      Is pituitary mri screening necessary in cluster headache?.
      ] that reported no higher prevalence of pituitary adenomas in CH compared to the general population can change the routine management of CH.
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      References

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        Is conventional brain mri useful for the diagnosis of cluster headache in patients who meet ichd-3 criteria? Experience in three hospitals in Spain.
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