Neurology 18 - Cluster Headaches

Question 1

define cluster headache

Answer 1

unilateral very very painful headache around the eye

3-4 attacks a week followed by years of remission (come in clusters like Crunchy Nut)

Question 2

symptoms of cluster headache

Answer 2

red, swollen, watering eye
miosis
ptosis
nasal discharge
sweaty face

attacks last 15 mins to 3 hours at a time

Question 3

treatment of cluster headaches

Answer 3

sumitriptan 6mg subcut

high flow 100% oxygen for 15 mins

Question 4

prophylaxis for cluster headaches

Answer 4

verapamil
lithium
short course preds during a cluster to break cycle