Primary headache disorder
Multiple attacks of unilateral, excruciating, sharp, searing, or piercing pain; typically localized in the periorbital area and temple accompanied by signs o...
Diagnosis is clinical.
International Classification of Headache Disorders (3rd edition) criteria
At least five attacks of severe or very severe unilateral orbital, supraorbital, and/or tempora...
Avoid major changes in sleep habits.
Stop smoking.
Avoid use of alcohol du...
Anticipate cluster bouts and initiate early prophylaxis.
Monitor for depression and suicidal ideation, especially in those with cCH.
Watch for adv...
Gaul C, Diener HC, Silver N, et al. Non-invasive vagus nerve stimulation for PREVention and Acute treatment of chronic cluster headache (PREVA): a randomised controlled study. Cepha...
G44.009 Cluster headache syndrome, unspecified, not intractable
G44.019 Episodic cluster headache, not intractable
G44.029 Chronic cluster headache, not intractable
G44.001 Cluster headache sy...
CHs are uncommon but very disabling.
Patients are often agitated and restless during the acute attack.
High-flow oxygen and triptans, not narcotics, are first-line therapy for acute atta...
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