A cluster headache is a pain that occurs on one side of the head.... This pain often occurs around, behind or above the eye in a cluster or swirling pattern.... The pain is very intense.... **Many patients describe the pain as a drill in the head****.** A headache may last from 15 minutes to a maximum of 3 hours, but in some people it repeats up to eight times a day.... This pain, which is often very annoying, can fortunately be controlled by various methods.... Sometimes there are headaches that do not follow this pattern and its severity requires immediate action. However, its overall prevalence is very low, about 1 in 1,000.... Due to its rarity, limited information is available.... Although the vast majority of sufferers are adults, this type of headache has also been reported in children under 6 years of age.... What are the signs and symptoms of silo headache? A cluster headache is always on one side.... However, the location of the pain may change in some people.... Most people with cluster headaches describe their pain around or behind the eyes.... The pain may spread along the forehead, inside the jaw or along the teeth line, or down the neck, or even on the cheek... Find... In addition to headaches, many people with cluster headaches have signs and symptoms that may include: - **Eye discharge:** Some people may only have inflamed redness.... - **Eyelid swelling or drooping** - **runny nose** People with cluster headaches may also have symptoms that are usually among the symptoms of a **migraine headache**, such as sensitivity to light, sound, or light may occur....However, unlike migraine headaches, movement does not aggravate cluster headaches....In fact, many people feel lethargic during a headache.. The specific etiology and anatomic cause of cluster headache are not known....MRI shows dilation of the ophthalmic artery during an acute cluster headache, while PET scans show intrasinusoidal activity....However, many patients with other headaches have abnormalities in similar areas, so these tests may show evidence that hypocycle results are definitive....Cluster headache....Activation The trigeminal ganglion may cause many changes in cluster headaches, but the trigger for activation of this region has not been identified.... What triggers cluster headaches? Many patients experience the onset of headache during sleep....In addition, alcohol can cause cluster headaches in patients who are in the middle of the headache cycle....Histamine and nitroglycerin can cause cluster headaches in patients....Seasonal change is also a trigger in some patients....Some patients have changes in the amount of environmental activities or environmental changes with headaches...or menstruation does not appear to The development of cluster headaches... Other factors include smoking and family history... Diagnosis of cluster headaches The diagnosis of cluster headache is usually made after a history and physical examination of the headache... Cluster headache is unique in its presentation and the history is often enough to make the diagnosis.... While no specific imaging study or blood test can confirm the diagnosis of cluster headache, an MRI or CT scan of the brain can be used to confirm that another factor is not causing symptoms similar to cluster headache.. In some cases, an eye exam It is needed to assess the presence of a problem inside the eye. The treatment of cluster headaches is divided into two main goals: **alleviation of acute attacks** and **prevention of subsequent attacks**... In the following, we will review the available treatment options with emphasis on effectiveness and important points. Here are some ways to prevent a cluster headache attack when it happens: - **Oxygen therapy:** Oxygen with a mask helps most patients and relieves pain in a short period of time... However, it is difficult for the patient to carry the oxygen device everywhere... - **Sumatriptans:** - **Injection:** Injectable sumatriptans are very useful in many patients with cluster headaches... - **Limitations:** This treatment interferes in patients with heart disease or uncontrolled high blood pressure and should be used with caution... A drug administered intravenously can be very effective in the treatment of cluster headaches and its use is limited in only 4 cases.. Hours.... - **Lidocaine spray Nose:** Lidocaine in the form of a nasal spray is also suggested as a treatment option.... But its effectiveness depends on how to use it correctly and it will be ineffective if it is not used correctly.... **I recommend reading:** Does sumatriptan have side effects? ### 2... Prevention of future headaches (preventive treatments) These methods are used to reduce the frequency and severity of attacks in cluster periods: - **Steroids:** Steroids can be very effective in reducing the headache cycle and stopping the cluster period....but due to significant side effects in case of long-term use, they should only be used in the short term and under the supervision of a doctor....- **Oral prophylactic drugs:** Drugs such as verapamil, lithium, tapirlatan acid and lithium can reduce the frequency of valramate.. Headache cycle... cluster can be useful.... Based on the patient's condition, the doctor may prescribe one or a combination of these drugs... - **Surgery (in severe cases):** In very severe cases resistant to drug treatments, surgery may be suggested.... One of these methods is the radiofrequency lesion of the trigeminal ganglion.... This surgery can reduce the frequency of side effects... Face... This option is usually considered as a last resort... Overview Over time, the frequency of cluster headaches will decrease, but it may take several years.. Cluster headaches can go away for a long time and then return to normal.... Similarly, you will meet with your doctor about the need for continued treatment..." It is not related to Alzheimer's, **Parkinson's disease**, or multiple sclerosis.... However, many people with multiple sclerosis experience severe headaches... Duration of cluster headaches When the cycle of cluster headaches starts in different people, its length is different and it may happen every other day and once a day in some people or it may affect them every day and in others up to eight times a day.. Also the headache lasts from ten to fifteen minutes to even three hours... **I suggest you read:** Know the dangerous headaches The nature of cluster headaches: dangerous or harmless? Fortunately, cluster headaches are not dangerous and do not cause permanent damage to the brain, but due to their repetitive and unpleasant nature, they can reduce the quality of a person's life... **He is a neurologist**... Self-medication or changing the dose without consulting a doctor can be dangerous...