Stephen J. Schueler, M.D.

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Migraine Cluster Evaluation

The evaluation of cluster headaches begins with a medical history and physical examination.

The physical examination is usually normal.

Physical findings that may occur during a cluster headache include:

To make the diagnosis of cluster headaches, there should be at least 5 clustered attacks of severe, one-sided pain around an eye. The headaches must last from 15-180 minutes.

There are no specific tests that confirm the diagnosis of cluster headaches. Tests may be performed to exclude other causes for headache.

Tests that may be used to evaluate cluster headaches include:

Migraine Cluster Similar Conditions

Continue to Migraine Cluster Treatment

Last Updated: Dec 8, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Migraine Cluster References
  1. Beck E, Sieber WJ, Trejo R. Management of cluster headache. Am Fam Physician. 2005 Feb 15;71(4):717-24. [15742909]
  2. Leone M. Chronic cluster headache: new and emerging treatment options. Curr Pain Headache Rep. 2004 Oct;8(5):347-52. [15361318]
  3. Lipton RB, Bigal ME, Steiner TJ, Silberstein SD, Olesen J. Classification of primary headaches. Neurology. 2004 Aug 10;63(3):427-35. [15304572]
  4. Rozen TD. Cluster headache: diagnosis and treatment. Curr Pain Headache Rep. 2005 Apr;9(2):135-40. [15745625]
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