Cluster Headache

Question 1

Features?

Answer 1

• severe, unbearable unilateral headache typically occurring around the eye
• happen in clusters of attacks and then disappear for a while
• attacks last between 15 mins - 3 hrs

Question 2

Symptoms

Answer 2

• red, swollen watery eye
• miosis (constricted pupil)
• ptosis
• nasal discharge
• facial sweating

Question 3

treatment options

• acute
• prophylactic

Answer 3

• acute
  
  • triptans subcut
  • high flow 100% oxygen for 15-20mins
• prophylactic
  
  • verapamil
  • lithium
  • prenisolone
    
    • can be given to break the cycle during clusters