Cluster Headache 3

6. Clinical ManifestationsCluster headache attacks quickly, usually without warning. Within minutes of excruciating pain developed. The pain usually develops on the side of the head the same cluster period, headaches and sometimes settle on the side of the patient's lifetime. Rarely does the pain move to the other side of the head during the period of the next cluster. Much more rarely, the pain moved around every time there was an attack.The pain of cluster headache is often described as a sharp pain, stabbing, or burning. People with this condition said that his pain like a hot poker tools stuck in the eye or in the eye like a slide out of place.

RestlessPeople with cluster headaches seem nervous, tend to move back and forth or sat wagging his body forward and backward to reduce pain. They may be able to suppress her in the eye or head or put ice or warm compresses on the sore area. In contrast to those with migraine, those with cluster headache usually avoid to lay in the attack because it seems like this position only increases the pain.Many people with cluster headache choosing to be alone. They may stay out of the house even in extremely cold weather, during the attack. They may be yelling, banging her head against the wall or injure herself to divert attention away from pain is not unbearable. Some have claimed reduction in pain with exercise, such as running in place or doing shit-ups or push-ups.Watery Eyes and Stuffy NoseCluster headache is always triggered by the autonomic nervous system response. This system controls many vital activities unnoticed and we do not have to think about what it does. For example, the autonomic nervous system regulates blood pressure, heart rate, perspiration and body temperature. Common response in cluster headache autonomous systems is excessive tears and red eyes on the affected side.Signs and symptoms that may be in conjunction with cluster headache include:a. Stuffy or runny nostril on the affected side of the head.b. Redness of the face.c. Swelling around the eye on the affected side of the face.d. Pupil size smaller.e. Difficult to open eyelids.Signs and symptoms only occur during the attack. However, in some people demikina difficult eyelids closed and shrinking the size of the pupil remains long after the period of the attack. Some symptoms such as migraine including nausea, photophobia and phonophobia, and aura may occur in cluster headache.Cluster Period CharacteristicsA cluster period usually lasts between 2 to 12 weeks. Chronic cluster period may continue for over a year. Date of onset and duration of each period is often a very awesome cluster consistent from time to time. For most people, seasonal cluster periods may occur, just as every time the spring or fall every time. It is usual for the cluster starts immediately after one of the solstice. Along with the time period of the cluster can be more frequent, more difficult to forecast, and longer.During the period of cluster headaches usually occur every day, sometimes several times a day. A single attack lasted an average of 45 to 90 minutes. The attack occurred at the same time every 24 hours. Attacks at night more often than during the day, often lasting 90 minutes to 3 hours after falling asleep. When the attack is most common between the hours of one and two in the morning, between the hours of one and three in the afternoon, and about nine o'clock at night.Cluster headache sufferers can be daunting as well as the people around him. The attack was made weak seemed unbearable. But the pain often disappears suddenly as it began, with the intensity decreases rapidly. After the attack, most people are completely free of pain but suffered fatigue. Healing while during the period of the cluster can take several hours to a full day before the next attack.7. DiagnosisCluster headache has a characteristic type of pain and attack patterns. A diagnosis depends on the description of the attack, including pain, location and severity of headaches, and other symptoms associated. The frequency and length of time a headache is also an important factor.Involvement of the autonomic phenomena which obviously is very important in cluster headache. These signs include ipsilateral rhinorrhea, and nasal congestion, lacrimation, hyperemia of the conjunctiva, facial diaphoresis, palpebral edema and partial or complete Horner's syndrome, tachycardia also common.Neurological examination can help detect signs of cluster headache. Sometimes pupils look smaller or palpebral fall even between attacks.Cluster headache is a clinical diagnosis, in cases of rare structural lesions can mimic symptoms of cluster headache, confirms the need for neuroimaging examinations. Tests performed were CT-Scan and MRI.

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