Skip to main content

Headache, Cluster

Samuel C. Wang, MD and Sarah Ali, MD Reviewed 06/2022
 


BASICS

DESCRIPTION

  • A primary headache disorder characterized by multiple attacks of severe, unilateral sharp, searing, or piercing pain typically localized to the periorbital and/or temporal areas

  • Accom...

DIAGNOSIS

  • Diagnosis is clinical.

  • International Classification of Headache Disorders (3rd edition, 2018) criteria

  • At least five attacks of severe or very severe unilateral orbital, supraorbital, and/or t...

TREATMENT

Many of the medications discussed in the following section are used off-label in the treatment of CH. 

GENERAL MEASURES

  • Avoid major changes in sleep habits.

  • Stop smoking.

  • Avoid use of alcohol du...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Anticipate cluster bouts and initiate prophylaxis early

  • Monitor for depression and suicidal ideation, especially in those with cCH.

  • Watch for adve...

REFERENCES

1
Robbins  M, Starling  A, Pringsheim  T, et al. Treatment of cluster headache: the American Headache Society evidence-based guidelines. Headache.  2016;56(7):10...

ADDITIONAL READING

  • Ljubisavljevic S, Zidverc Trajkovic J. Cluster headache: pathophysiology, diagnosis and treatment. J Neurol. 2019 May;266(5):1059-1066.

  • Magi...

CODES

ICD10

  • 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...

CLINICAL PEARLS

  • CHs are present as severe, unilateral sharp, searing, or piercing pain typically localized to the periorbital and/or temporal areas, accompanied by autonomic symptoms such as ipsilater...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

×