Headaches Cluster headache is a type of migraine that rarely happens , which causes tremendous pain .
Most common in men above 30 years .
CAUSE
The attacks can be caused by alcohol and lack of oxygen ( eg in mountainous areas ) .
SYMPTOMS
An attack almost always begins suddenly and ends in 1 hour .
The attack often begins with an itching or runny nose on one side , which precedes severe pain on the same side of the head and spreads to the surrounding eye .
After the attack , the eyelid on the same side can close and pupils are often smaller .
Attacks come in groups , ranging from 2 attacks / week up to several attacks / day .
The majority of cluster headache episodes lasted for 608 weeks and sometimes longer , which is followed by a headache -free intervals for several months before the attack appeared again .
Diagnosis
Diagnosis based on characteristic symptoms .
TREATMENT
Injections of sumatriptan can immediately relieve the pain but does not prevent the next attack .
During an attack , inhale oxygen sometimes can reduce pain .
PREVENTION
To prevent an attack could be given ergotamine , corticosteroids or methysergide
