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CLUSTER HEADACHES: THE CLUSTER HEADACHE PROFILE
The Cluster Headache Profile below is a description of the symptoms of cluster headaches. It is followed by a series of questions that a physician might ask you if cluster headaches were suspected as the diagnosis.
Warning: This exercise is not a means of diagnosing your headaches. The exercise is provided only to encourage you to carefully consider the features of your own headaches using a characterization of cluster headaches for comparison. An accurate diagnosis of your headache problem requires a thorough evaluation by a trained professional. There is no acceptable substitute.
Profile-You have recurring headaches on one side of your face; your eye and jaw on that side are also involved. The headaches occur in episodes lasting fifteen minutes to an hour each. The attacks can occur one to six times during the day and night and tend to repeat in bouts that last for weeks or months. You may go for months or even years without a recurrence.
During an attack, you may experience, on the affected side of your face, a runny nose, tearing, and a bloodshot eye. You do not have a warning that an attack will occur. Your attacks often come during the nighttime, awakening you from a sound sleep one or more times. The pain is excruciating. Ingestion of any form of alcoholic beverage almost invariably brings on an attack during one of the bouts.
If this brief and general description of cluster headaches is similar to your headaches, you may want to answer the following questions. The questions are typical of some of those that would be asked of you if your physician suspected a diagnosis of cluster headaches.
True False
1. Your headaches began after the age of twenty.
2. Your attacks occur in groups, or clusters, of at least one to six per day.
3. Each bout of headaches lasts for one to three months at a time.
4. A headache can be brought on by drinking alcohol during a bout of attacks.
5. Between attacks, you are in good health.
6. You are without headaches most of the time except for the cluster period.
7. Your headaches are worsened by bending over.
8. During an attack, your nose, on the same side as the pain, is runny.
9. During an attack, your eye, on the side of the headache, tears or waters.
10. You feel like pacing, running, screaming, or thrusting your fist or head against a wall during a headache.
11. You are a heavy smoker.
12. You are inclined to drink alcohol frequently.
The characterization that you have just read and the questions that have been asked represent a profile of many cluster headaches.
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