cluster headache

Question 1

define cluster headache?

Answer 1

a neurological disorder characterised by recurrent, severe headaches on one side of the head typically around the eye, tending occur in clusters lasting several weeks.

Question 2

risk factors?

Answer 2

• Genetic factor implicated
• More common in smokers
• Alcohol can be a trigger
• There is a relation to nocturnal sleep

Question 3

epidemiology of cluster headaches?

Answer 3

• More common in MEN (3:1)

* Usually occurs between 20-40 yrs

Question 4

presenting symptoms of cluster headaches?

Answer 4

• episode lasting 15 mins to 2 hours
• Clusters typically last 4-12 weeks
• There is an intense stabbing pain around one eye
• It is associated with redness lacrimation and lid swelling
• Miosis and ptosis can occur
• Often the patient will pace around

Question 5

investigations for cluster headaches?

Answer 5

• CLINICAL diagnosis based on history

* Neurological examination may be useful