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Cluster headache

Cluster headache causes extremely severe attacks of pain on one side, around or behind one eye. Attacks often come in series at set times, with watering, a blocked nose or a drooping eyelid on the same side. A doctor must confirm the diagnosis and make a plan for rapid attack treatment and prevention.

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  • Cluster headache causes exceptionally severe attacks on one side around the eye or temple.
  • An attack usually starts within minutes, often lasts 15 minutes to 3 hours and may return several times over a day and night.
  • A red, watery eye, runny or blocked nose, sweating, a smaller pupil and a drooping eyelid may occur on the same side.
  • Attacks often occur over weeks or months in a recognisable period, sometimes at almost the same time of day or night.
  • A specialist treatment plan usually includes very fast-acting attack treatment and, during a cluster period, preventive treatment if needed.
  • A first, sudden or clearly changed severe headache needs medical assessment; do not assume it is cluster headache yourself.

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