Scopul studiului a fost analiza particularităţilor clinice şi a profi lului vegetativ al pacienţilor cu cefalee cluster (CC) episodică. Lotul a inclus 17 pacienţi cu CC cu vârsta de 19-57 de ani: bărbaţi – 11, femei – 6. Aspectele clinice analizate în baza criteriilor SIC (2004) au fost asociate cu efectuarea probelor vegetative segmentare cardiovascualre, chestionarului tulburărilor vegetative suprasegmentare. Cincisprezece pacienţi cu CC (88,2%) au înregistrat valori patologice ale probelor vegetative parasimpatice cardiovasculare, fapt care denotă prezenţa unei insufi cienţe vegetative periferice la pacienţii cu CC, patogenia căreia rămâne a fi elucidată, dar mecanismele comune cu tulburările vegetative unilaterale la nivel cranian pot fi presupuse. Intensitatea durerii şi a semnelor vegetative craniene unilaterale a fost mai proeminentă la pacienţii, care aveau mai mult decât o probă vegetativă patologică.

The goal of the study was the analysis of clinical pattern and autonomic profile of patients with episodic cluster headache (CH). Seventeen patients with episodic CH according to the criteria of IHS (2004) were included in the study, with the age range 19-57 years, 11 men and 6 women. Assessments of autonomic cardio-vascular tests (active orthostatic test 30/15, test with slow and deep respiration, Valsalva maneuver) with a questionnaire for estimation of suprasegmentary autonomic disturbances were performed. Fifteen patients with CH (88,2%) have showed pathologic values in autonomic parasympathic cardiovascular tests that denote the presence of a peripheral autonomic failure in patients with CH, the pathogenesis of which remains to be elucidated. Autonomic cranial signs and pain intensity were more pronounced in patients who presented more than one pathologic autonomic tests.