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Cluster Headache

Extremely severe attacks of headache, concentrated around the eye and recurring more than once a day during distinct periods.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Nöroloji department. Book Appointment →

What is Cluster Headache?

Cluster headache is a primary headache disorder characterized by extremely severe pain attacks lasting from 15 minutes to 3 hours and recurring 1–8 times per day, centered on one side of the face around the eye.

Attacks occur daily during certain periods (cluster periods) lasting weeks or months, followed by long remission periods. Eye redness, tearing, nasal congestion, and a state of restlessness on the affected side are typical accompanying features.

During a cluster headache attack, the patient often sits up and tries to walk; unlike in migraine, lying still does not relieve the pain. Diagnosis is made by a neurologist; high-flow oxygen and triptans are used to abort the attack.

Symptoms

Unilateral piercing or burning pain around the eye
Eye redness and tearing on the affected side
Runny or stuffy nose
Drooping eyelid and pupillary constriction
Sweating and agitation
Attacks recurring at regular times (especially at night)

Risk Factors

Male sex (3–4 times more common)
Smoking
Family history of cluster headache
Alcohol (triggers attacks during cluster periods)
Sleep irregularity

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Severe recurring unilateral headache around the eye
  • Headache accompanied by eye redness and nasal symptoms
  • Routine analgesics ineffective
  • Headaches that wake the patient at the same time every night

Treatment Methods

01
Acute attack: high-flow oxygen therapy (7–12 L/min via mask)
02
Triptan (sumatriptan) subcutaneous or nasal injection
03
Verapamil or corticosteroids to shorten the cluster period
04
Lithium or valproate (in resistant chronic cases)
05
Smoking and alcohol cessation

Which Department to Visit?

You can visit our Nöroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.