Abstract
We describe the case of a 40-year-old woman, affected by episodic cluster headache, who presented with a cluster headache triggered by exposure to high altitude. Her attacks were refractory to sumatriptan, very effective at sea level, but responded to oxygen. A pathophysiological mechanism is proposed.
Keywords: Cluster headache, Attacks therapy, Oxygen, Sumatriptan, Refractory attacks
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