Three patients experienced attacks of typical cluster headache and also cluster attacks of Meniere's syndrome. In these patients, the two conditions demonstrated strikingly similar clinical patterns. Vasodilatation of a recurrent, focal paroxysmal nature is known to underlie cluster headaches, and a similar mechanism may precipitate episodes of vertigo or tinnitus in certain young or middleaged adults presenting the symptom constellation of recurrent paroxysmal Meniere's syndrome.
Gilbert GJ. Meniere's Syndrome and Cluster Headaches: Recurrent Paroxysmal Focal Vasodilatation. JAMA. 1965;191(9):691–694. doi:10.1001/jama.1965.03080090005001
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