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May 19, 2018

Cluster headache what is it ?

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One of the worst painful headaches that humans can experience is cluster headaches that consists of group of headaches on one side of the head.
It is an excruciatingly painful headache disorder one can have. It is severe than migraine.
It is very rare to have both migraine and cluster headache coexisting. 15 to 22% people who suffer from cluster headache will have suicidal thought during cluster headache attacks. For this reason, it is also called suicidal headache.
Cluster headache is a rare chronic condition. During the pain one feels pain attacks in group or clusters means headaches occurring back to back over subsequent hours and days. These attacks can occur on consecutive days for 6 to 8 weeks. Everyday on specific time it appears and generally it will be during night time.
Cluster headache affects around 0.3% of the population. It develops in the age group of 20 to 40, occurs rarely in children and extremely rare after age 70-75. Cluster headaches has been described by patients as boring, bearing, burning, like a hot poker in the eye as well as suicide headaches. From a doctor’s note – some of the ways pain clusters are described by patients are:
“Jabbing eye socket with white hot poker and holding it there for 45 minutes”


Severe headaches on unilateral side
Headache near the orbit, the bone framing the eye, supraorbital (above orbit), temporal (at temple) or in a combination of all these sites. Sometimes it appears towards back of head.
Red eye, eyelid swelling, forehead and facial sweating, tearing, abnormal small size of the pupil, nasal congestion, runny nose, drooping eyelid
Restless or agitated during headache attacks.
Attacks are one sided only and almost always the same side of the head and duration of attack is generally 15 minutes to 3hours
High flow of pure oxygen by mask
Sumatriptan nasal spray or injection
Zolmitriptan nasal spray
DHE -45 injection or nasal spray
Physical activity can relieve cluster headaches
Lithium
Topiramate, melatonin is recommended.
There is no curative treatment available for cluster headaches.
Preventive medicines like verapamil are prescribed for this pain.
1. Dodick DW, Rozen TD, Goadsby PJ, Silberstein SD. Cluster headache. Cephalalgia 2000; 20:787.
2. https://americanmigrainefoundation.org/understanding-migraine/cluster-headache/
3. https://www.theatlantic.com HEALTH ALERT
One of the worst painful headaches that humans can experience is cluster headaches that consists of group of headaches on one side of the head.
It is an excruciatingly painful headache disorder one can have. It is severe than migraine.
It is very rare to have both migraine and cluster headache coexisting. 15 to 22% people who suffer from cluster headache will have suicidal thought during cluster headache attacks. For this reason, it is also called suicidal headache.
Cluster headache is a rare chronic condition. During the pain one feels pain attacks in group or clusters means headaches occurring back to back over subsequent hours and days. These attacks can occur on consecutive days for 6 to 8 weeks. Everyday on specific time it appears and generally it will be during night time.
Cluster headache affects around 0.3% of the population. It develops in the age group of 20 to 40, occurs rarely in children and extremely rare after age 70-75. Cluster headaches has been described by patients as boring, bearing, burning, like a hot poker in the eye as well as suicide headaches. From a doctor’s note – some of the ways pain clusters are described by patients are:
“Jabbing eye socket with white hot poker and holding it there for 45 minutes”
“Just got shot in the face”
“Papercut in the eye, in the center of my head”
“Sharp and excruciating pain”
“Feels like running away from pain”
Symptoms: Cluster headache is a rare condition and misdiagnosed in many cases. It is not like migraine. Reports reveal that “most headache doctors have had patients with cluster headaches who have committed suicide from the worst pain”
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