Cluster Headaches
Cluster headaches are one of the most painful and frustrating types of headache syndromes.
People with cluster headaches may go for more than a year without any attacks, and then suddenly the headaches appear and strike several times a day. It usually occurs in periods of frequent attacks known as clusters.
Each cluster period may start at about the same time of year and last about the same length of time – known as episodic cluster headache. For example, cluster periods can come during certain seasons, such as every spring or every fall.
The headache lasts from 30 minutes to 2 hours and consists of very severe pain on one side of the head, generally unilateral i.e., in the region of the one eye – one side of the head.
- A single attack can last from 15 minutes to three hours, but more often lasts 30 to 45 minutes.
- The attacks often occur at the same time each day.
- Most attacks occur at night, usually 1 to 2 hours after bedtime.
- The pain usually ends as suddenly as it begins. After attacks, most people are pain-free but exhausted.
These daily headaches continue for 4 to 8 weeks, and then disappear for another year or more.
Cluster headaches are different from migraine headaches (although they may possess some underlying similarities) and much more difficult to treat.
A cluster headache strikes quickly and there’s usually no warning – at times they are so severe that they can wake people from sleep!
Common symptoms during a cluster headache include:
- May have migraine-like nausea and aura before strike.
- Extreme sharp or stabbing pain, usually behind or around one eye that may radiate to other parts of the face, head and neck.
- Pain can switch to the other side in another cluster.
- A lot of tears.
- Redness of the eye on the side that hurts.
- Stuffy or runny nose on the side that hurts.
- Forehead or facial sweating.
- Skin color changes on the side of the face that hurts.
- Swelling around the eye on the side that hurts.
- Drooping eyelid on the side that hurts.
Cluster headache causes and common triggers
The most common is drinking alcohol & smoking.
Weather changes and certain medicines.
- Men are more likely to have cluster headaches than women are.
- Mostly between ages 20 and 50. But the condition can start at any age.
- Family history. Having a parent, brother or sister who has cluster headache might increase the risk.
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