Named for tendency to occur in clusters of time.
- Deep non-throbbing pain, usually involving 1 eye &:
- --Adjacent temple
- “Pace the floor in search of relief”
Same part of face or head is involved in every headache
Eye is watery & red w/ partial ptosis (even miosis)
Ipsilateral nostril is congested or hypersecretory
Typically occur during sleep & last 0.5 – 2 hours
Poss in daylight hours, esp in pts drinking ETOH
Remission of headache → exhausted sleep → another attack sometime later
1-4 headaches/day for several week/months before the headaches cease then reappear months later.
~ ♂ Begins in 30s – 40s
- --Inhalation of O2 is effectv Rx & used for home therapy.
Resp poorly to ergotamine compounds.