57 of 2018 | |
58 of 2018 |
SOP Bulletin 203 [3]
Cluster headache manifests as unilateral, typically severe headache attacks, occurring in clusters. In the episodic form attacks occur over a period of weeks followed by a remission that may last for months. There is also a chronic form, without significant remission periods. Attacks are typically accompanied by autonomic symptoms (usually involving the eye, nose or facial skin). Whilst rare, cluster headache is the most common form of a group of headache entities, known as the trigeminal autonomic cephalalgias.
This diagnosis is made on clinical grounds, using diagnostic criteria. Neuroimaging is not required (but may be undertaken to exclude a cranial lesion) and other tests are not diagnostically helpful. Specialist opinion will generally be required.
The relevant medical specialist is a neurologist.
* another SOP applies
# non-SOP condition
Clinical onset will be based on when typical cluster headache symptoms, as per the SOP definition, first manifest.
Cluster headache is an enduring condition in most patients. Preventive therapies can suppress attacks over the duration of a cluster period. Therapies aimed at preventing onset of cluster episodes are generally ineffective. Worsening may be evidenced by an increase in the frequency, severity or duration of cluster episodes.
Place holder node for Rulebase for cluster headache
Cluster headache - Alcohol dependence Factor
Last reviewed for CCPS 25 April 2000.
Investigative Documents
Claimant Report - Alcohol Consumption [CRD904] [5] Claimant Report - Alcohol Consumption [CRV904] Preliminary questions [29852]
29878 [6] the veteran has suffered from alcohol dependence at some time.
7334 [7] the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service. the condition under consideration permanently worsened. the veteran was suffering from alcohol dependence, involving continuing daily consumption of alcohol, at the time of the clinical worsening of the condition under consideration. 29880 — the veteran has established the causal connection between the alcohol dependence and VEA service for the clinical worsening of the condition under consideration. 29881 — the veteran has established the causal connection between the alcohol dependence and operational service for the clinical worsening of cluster headache syndrome. or 29882 — the veteran has established the causal connection between the alcohol dependence and eligible service for the clinical worsening of cluster headache syndrome. Clinical worsening and operational service [29881] 29889 — the alcohol dependence is causally related to operational service. [10] [11] Clinical worsening and eligible service [29882] 29890 — the alcohol dependence is causally related to eligible service. [13] [11]
Cluster headache - No appropriate clinical management for cluster headache syndrome Factor
Last reviewed for CCPS 25 April 2000.
Investigative Documents
Medical Report - Inability to Obtain Appropriate Clinical Management - [GQACM] Preliminary questions [32582] 11109 — the condition under consideration has been accepted on the basis of inability to obtain appropriate clinical management for the condition under consideration.
7334 [7] the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service. the condition under consideration permanently worsened. the veteran was unable to obtain appropriate clinical management for the condition under consideration at some time.
7379 [17] the inability to obtain appropriate clinical management for the condition under consideration contributed to the clinical worsening of the condition under consideration. 11234 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and VEA service for the clinical worsening of the condition under consideration. 11235 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and operational service for the clinical worsening of the condition under consideration. or 11236 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and eligible service for the clinical worsening of the condition under consideration. Clinical worsening and operational service [11235] or 7390 — the identified illness or injury which prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related to operational service. [22] [23] Clinical worsening and eligible service [11236] or 7391 — the identified illness or injury which prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related to eligible service. [22] [23]
Cluster headache - Trauma to the forehead or temple or eye socket Factor
Last reviewed for CCPS 25 April 2000.
Investigative Documents
Claimant Report - Cluster Headache Syndrome - Trauma to the Forehead or Temple or Eye Socket [CR9164] [30] Medical Report - Cluster Headache Syndrome - Trauma to the Forehead or Temple or Eye Socket [MR9239] Preliminary questions [29851] 29834 — the veteran has established the causal connection between the trauma to the forehead, temple or eye socket and VEA service for the clinical onset of cluster headache syndrome. 29836 — the veteran has established the causal connection between the trauma to the forehead, temple or eye socket and operational service for the clinical onset of cluster headache syndrome. or 29837 — the veteran has established the causal connection between the trauma to the forehead, temple or eye socket and eligible service for the clinical onset of cluster headache syndrome. Clinical onset and operational service [29836] or 29844 — the identified illness or injury which caused the trauma to the forehead, temple or eye socket is causally related to operational service. [38] [39] Clinical onset and eligible service [29837] or
29850 — the identified illness or injury which caused the trauma to the forehead, temple or eye socket is causally related to eligible service. [46] [39]
Cluster headache - Treatment with nitroglycerine or acetazolamide Factor
Last reviewed for CCPS 25 April 2000.
Investigative Documents
Medical Report - Cluster Headache Syndrome - Drug Treatment [MR9238] Preliminary questions [29853]
7334 [7] the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service. the condition under consideration permanently worsened. the veteran has undergone treatment with nitroglycerine or acetazolamide at some time. the veteran was undergoing treatment with nitroglycerine or acetazolamide, at the time of the clinical worsening of the condition under consideration. the veteran was undergoing treatment with nitroglycerine or acetazolamide, at the time of the clinical worsening of the condition under consideration, for an illness or injury which is identifiable. the treatment with nitroglycerine or acetazolamide for the identified illness or injury at the time of the clinical worsening of the condition under consideration was able to be ceased or substituted. 29861 — the veteran has established the causal connection between the treatment with nitroglycerine or acetazolamide and VEA service for the clinical worsening of the condition under consideration. 29862 — the veteran has established the causal connection between the treatment with nitroglycerine or acetazolamide and operational service for the clinical worsening of the condition under consideration. or 29863 — the veteran has established the causal connection between the treatment with nitroglycerine or acetazolamide and eligible service for the clinical worsening of the condition under consideration. Clinical worsening and operational service [29862] 29864 — the identified illness or injury for which the treatment with nitroglycerine or acetazolamide was undergone is causally related to operational service. [51] [52] Clinical worsening and eligible service [29863] 29865 — the identified illness or injury for which the treatment with nitroglycerine or acetazolamide was undergone is causally related to eligible service. [54] [52]
Links
[1] http://www.rma.gov.au/assets/SOP/2018/057.pdf
[2] http://www.rma.gov.au/assets/SOP/2018/058.pdf
[3] https://clik.dva.gov.au/system/files/media/SOP%20Bulletin%20203_0.pdf
[4] https://clik.dva.gov.au/user/login?destination=comment/reply/63420%23comment-form
[5] https://clik.dva.gov.au/ccpsclaimant-21
[6] https://clik.dva.gov.au/ccpsf070rc
[7] https://clik.dva.gov.au/node/69461
[8] clikpopup://CCPS/Reject/OnsetAfterService
[9] clikpopup://CCPS/Reject/NoPermanentWorsening
[10] clikpopup://CCPS/reject29888No
[11] clikpopup://CCPS/reject29889,29890No
[12] clikpopup://CCPS/Onset of the condition under consideration occurred prior to operational service to which the alcohol dependence is causally related
[13] clikpopup://CCPS/reject29883No
[14] clikpopup://CCPS/Onset of the condition under consideration prior to eligible service to which the alcohol dependence is causally related
[15] clikpopup://CCPS/reject29884No
[16] https://clik.dva.gov.au/ccpsother-31
[17] clikpopup://CCPS/Cluster headache syndrome/ACM - contributed to worsening
[18] clikpopup://CCPS/ACM/NoContribution
[19] clikpopup://CCPS/ACM/NotOpService
[20] clikpopup://CCPS/ACM/NotOperDuties
[21] clikpopup://CCPS/rejectwilful
[22] clikpopup://CCPS/ACM/NoIllness
[23] clikpopup://CCPS/reject7390,7391No
[24] clikpopup://CCPS/Cluster headache syndrome/ACM - onset prior to operational service
[25] clikpopup://CCPS/ACM/OnsetFailOper
[26] clikpopup://CCPS/ACM/NotEligService
[27] clikpopup://CCPS/ACM/NotEligDuties
[28] clikpopup://CCPS/Cluster headache syndrome/ACM - onset prior to eligible service
[29] clikpopup://CCPS/ACM/OnsetFailElig
[30] https://clik.dva.gov.au/ccpsclaimant-169
[31] https://clik.dva.gov.au/ccpsf070rc-6
[32] clikpopup://CCPS/reject29835No
[33] clikpopup://CCPS/reject29839No
[34] clikpopup://CCPS/reject29838No
[35] clikpopup://CCPS/reject29841No
[36] clikpopup://CCPS/reject29840No
[37] clikpopup://CCPS/reject29843No
[38] clikpopup://CCPS/reject29848No
[39] clikpopup://CCPS/reject29844,29850No
[40] clikpopup://CCPS/Onset of the condition under consideration on or within 14 days following a period of eligible service
[41] clikpopup://CCPS/reject29845No
[42] clikpopup://CCPS/reject29873No
[43] clikpopup://CCPS/reject29874No
[44] clikpopup://CCPS/reject29846No
[45] clikpopup://CCPS/reject29849No
[46] clikpopup://CCPS/reject29850No
[47] https://clik.dva.gov.au/ccpsmedical-79
[48] clikpopup://CCPS/reject29858No
[49] clikpopup://CCPS/reject29859No
[50] clikpopup://CCPS/reject30077No
[51] clikpopup://CCPS/reject29860Yes
[52] clikpopup://CCPS/reject29864,29865No
[53] clikpopup://CCPS/Onset prior to operational service for identified illness or injury which treatment with nitroglycerine or acetazolamide causally related
[54] clikpopup://CCPS/reject29875No
[55] clikpopup://CCPS/Onset prior to eligible service for identified illness or injury which treatment with nitroglycerine or acetazolamide causally related
[56] clikpopup://CCPS/reject29876No