Evidence map›Paper›PMID 29850313›Full record

ArticleCase reports in neurological medicine2018

Oral High-Dose Thiamine Improves the Symptoms of Chronic Cluster Headache.

Costantini Antonio, Tiberi Massimo, Zarletti Gianpaolo, Pala Maria Immacolata, Trevi Erika

Open access · goldAbstract readCase Reports
In one paragraph

Article in Case reports in neurological medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.3field-weighted citation impact, top 39% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. A narrative review of autophagy in migraine.Frontiers in neuroscience · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Costantini AntonioUniversità Cattolica di Roma, Largo Agostino Gemelli, Roma, Italy.ORCID 0000-0002-2298-5002
Tiberi MassimoCentro Polispecialistico Giovanni Paolo I, Viterbo, Italy.
Zarletti GianpaoloCentro Polispecialistico Giovanni Paolo I, Viterbo, Italy.
Pala Maria ImmacolataDepartment of Neurological Rehabilitation, The "Villa Immacolata" Clinic, Viterbo, Italy.
Trevi ErikaCentro Polispecialistico Giovanni Paolo I, Viterbo, Italy.
Agostino Gemelli University Polyclinic · ITAzienda Sanitaria Locale Viterbo · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cluster headache is a rare painful primary disorder occurring in either episodic or chronic patterns. Several authors found that the hypothalamus, the brain region regulating endocrine function and autonomic system, is involved in the pathophysiology of cluster headache. Some authors have found in patients affected by this disease abnormality in glucose metabolism. Considering the role of thiamine in brain function, in energetic metabolism, and in pain modulation, we treated a patient affected by cluster headache with oral high-dose thiamine. We report a 41-year-old man suffering from primary chronic cluster headache since the age of 15 years. The patient began oral therapy with high-dose thiamine in December 2016. Oral thiamine supplementation led to a dramatic improvement of the symptoms. The therapy was effective in reversing all the symptoms of the disease. Our observation suggests that a thiamine deficiency due to enzymatic abnormalities or to dysfunction of the circulation of thiamine in the intracellular space could cause a neuronal selective impairment in the centers that are involved in this disease and could have an important role in the pathogenesis of the symptoms of cluster headache.

Identifiers

PMID29850313
PMCPMC5932500
OpenAlexW2801312117

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.