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Letters Cluster headache

Authors’ reply to Litwin and Malhotra

BMJ 2012; 344 doi: (Published 22 May 2012) Cite this as: BMJ 2012;344:e3551
  1. Alexander D Nesbitt, research fellow1,
  2. Peter J Goadsby, professor of clinical neurology2
  1. 1Surrey Sleep Research Centre, University of Surrey, Guildford, Surrey GU2 7XP, UK
  2. 2Department of Neurology, University of California, San Francisco, CA 94115, USA
  1. a.nesbitt{at}

We welcome Litwin and Malhotra’s list of painful ophthalmic conditions that may resemble some elements of a single attack of cluster headache.1 2 We also agree that patients with these conditions may experience these symptoms on more than one occasion. Their suggestion that neuroimaging is warranted to exclude secondary causes of cluster headache-like pain is echoed …

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