Cluster headache (CH): clinical features

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Cluster headache (CH): clinical features. This is the occurrence of two or more cluster periods. Fully referenced neurology checklist.

Episodic CH

  • This is the occurrence of two or more cluster periods
  • Each period lasts 7 days to 1 year
  • Pain-free periods last ≥ 1 month

Chronic CH

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Pre-cluster symptoms: pattern

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Pre-cluster symptoms: types

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Headache features

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Autonomic features

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Associated attack features

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Associated migrainous symptoms

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Outcome

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References

  1. Hoffmann J, May A. Diagnosis, pathophysiology, and management of cluster headache. Lancet Neurol 2018; 17:75-83.
  2. Cho S, Cho SJ, Lee MJ, et al. Characteristics of pre-cluster symptoms in cluster headache: a cross-sectional multicentre study. Cephalalgia 2022; 42:570-578. 
  3. Cho S, Cho SJ, Lee MJ, et al. Clinical characteristics of pre-attack symptoms in cluster headache: a large series of Korean patients. Cephalalgia 2021; 41:227-236. 
  4. Pedersen AS, Snoer A, Barloese M, Petersen A, Jensen RH. Prevalence of pre-cluster symptoms in episodic cluster headache: is it possible to predict an upcoming bout? Cephalalgia 2021; 41:799-809. 
  5. Peatfield R. Migrainous features in cluster headache. Curr Pain Headache Rep 2001; 5:67-70.
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