A board-certified neurologist talks about cluster headaches
This week, Ira spoke with Steven Sykes, MD, a board-certified neurologist who practices general neurology and clinical neurophysiology with Cedars-Sinai Medical Group in Santa Monica, California. In this Hippocratic episode of Ira’s Everything Bagel, Dr. Sykes talks about the lesser-known cluster headache; the difference between a migraine headache and the more severe cluster headache, and observing the difference by tracking non-headache symptoms; why there are genetic factors that risk developing cluster headaches; the diagnostic testing necessary to establish the condition; acute (or rescue) treatment and preventative treatment; why oxygen at a high flow rate can be an effective treatment; some of the other treatments that are borrowed from the migraine world; the impact of prolonged cluster episodes on the personality of the patient; and what can help the doctor establish a diagnosis.
Dr. Sykes is chief of the Division of Neurology for the Cedars-Sinai Medical Group and an assistant clinical professor in the Department of Neurology at Cedars-Sinai Medical Center. He received his medical degree from the University of Michigan and completed his neurology residency training at the University of California at Los Angeles, where he served as chief resident in his final year. Sykes later completed a clinical neurophysiology fellowship at the University of Southern California. He also is board certified in the subspecialty of clinical neurophysiology through the American Board of Psychiatry and Neurology.