Cluster Headaches | Risk Factors, Triggers, Signs & Symptoms, Diagnosis, Treatment

Cluster Headaches (also known as Histamine Headaches) are a type of neurovascular headache disorder involving groups or “clusters” of headache episodes or attacks that occur periodically and often in a pattern. Cluster Headaches can be triggered by a variety of stimuli including hot weather, alcohol use and bright lights. In this lesson, we discuss the risk factors for getting Cluster headaches, more triggers of them, the signs and symptoms, how they are diagnosed and how they are treated by clinicians.

I hope you find this lesson helpful. If you do, please like and subscribe for more lessons like this one!

JJ

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Why do I get headaches when I work out? This is the question Daniel will answer in this week’s video. Should you be worried about getting workout headaches? Watch to find out.
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ABOUT THIS VIDEO:
Why do you get sudden headaches during a workout? What causes these exertional headaches? Daniel talks about the causes and symptoms of getting headaches while working out. If you struggle with headaches and want to know the link between exercise and headaches, then you have to watch this informative video.

Watch out for these symptoms of headaches.

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This video covers the pathophysiology, risk factors, triggers, signs/symptoms, treatment, and nursing care associated with migraine headaches. The pathophysiology, signs/symptoms, and treatment for cluster headaches.

Our Medical-Surgical video tutorial series is taught by Cathy Parkes BSN, RN, CWCN, PHN and intended to help RN and PN nursing students study for their nursing school exams, including the ATI, HESI and NCLEX.

#NCLEX Medsurg #Migraine #clusterheadache #HESI #Kaplan #ATI #NursingSchool #NursingStudent⁠ #Nurse #RN #PN #Education #LVN #LPN

0:00 What to Expect with Migraine and Cluster Headaches
0:24 Migraine Headache
0:50 Aura
1:36 Pathophysiology
2:04 Risk Factors of a Migraine Headache
2:14 Triggers of a Migraine Headache
2:42 Signs and Symptoms of a Migraine Headache
3:11 Treatment of a Migraine Headache
4:05 Patient Teaching
4:33 Cluster Headache
5:03 Pathophysiology
5:20 Signs and Symptoms of a Cluster Headache
6:01 Treatment of a Cluster Headache
6:24 Quiz Time!

🚨Head over to our interactive study guide and index ANYTIME and find out exactly which card we’re referencing. https://bit.ly/MedSurgIndex

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Patients who have recovered sometimes still experience lingering symptoms related to the inflammation brought on by COVID-19.
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Nurse practitioner Rachel Hisim discusses vestibular migraine headaches, which are categorized as atypical and marked by dizziness, ear pain, sinus pressure or ringing in the ear. #VestibularMigraine #JohnsHopkins https://www.hopkinsmedicine.org/health/conditions-and-diseases/vestibular-migraine

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With their severe and sudden onset, thunderclap headaches are not only excruciatingly painful — they’re deadly. Neurologist Dr. Steven Rider explains the symptoms and advises on what to do if you experience this kind of headache. For more health information visit wwwdrbobshow.com.

This video is intended to serve as an overview of the approach to diagnosing a patient with thunderclap headache (fastest “worst headache” of life). Learners will define the thunderclap headache, review three major categories of dangerous pathologies (five cerebrovascular pathologies, three disorders causing intracranial pressure dysregulation, and one type of cerebral infection) and review the structure and function of the neurovascular unit and the associated disorders. We will also discuss CT-based early diagnostic workup (non-contrast head CT and CTA with contrast) for a patient with thunderclap headache, and briefly review the management and outcomes of one particular cause of thunderclap headache – reversible cerebral vasoconstruction syndrome. The video is summarized with a protocolized approach.

00:00 – INTRO
00:58 – OBJECTIVES
01:49 – CASE
03:27 – DEFINITION of Thunderclap Headache
06:17 – Pathological DIFFERENTIAL DIAGNOSIS
08:46 – Cerebrovascular Pathologies
10:25 – Aneurysmal Subarachnoid Hemorrhage
15:15 – Reversible Cerebral Vasoconstriction Syndrome
17:27 – Spontaneous Cervical Dissections
20:29 – Neurovascular Unit and Disorders of Vascular Tone
22:18 – Autoregulation Curve
23:28 – Posterior Reversible Encephalopathy Syndrome
25:47 – Cerebral Venous Thrombosis
28:46 – Intracranial Pressure Abnormalities
33:44 – Cerebral infections
38:30 – DIAGNOSTIC WORK-UP
38:35 – Non-contrast Head CT
44:08 – CT Angiogram with contrast
50:50 – BACK TO THE CASE…
53:51 – RCVS2 score
54:39 – MANAGEMENT AND OUTCOMES of RCVS
57:39 – SUMMARY/ALGORITHM

Created, produced and narrated by:
Abigail Knowles
MD Candidate, Class of 2024
Rutgers Robert Wood Johnson Medical School

with
Igor Rybinnik MD
Associate Professor
Neurology Clerkship Director
Division of Stroke and Critical Care
Rutgers Robert Wood Johnson Medical School

Content experts:
Ram Gowda MD, Igor Rybinnik MD
Division of Stroke and Neurocritical Care
Department of Neurology
Rutgers Robert Wood Johnson Medical School

Images adapted from:
– Hendricks BK, Hartman J, Cohen-Gadol AA. Operative Neurosurg 2018;15(6):613-23
– Brisman JL, Song JK, Newell DW. NEJM 2006;355:928-39
– Adapted from Schievink WI. NEJM 2001;344(12):898
– Kandel ER, et al. Principles of Neural Science 5th Edition. McGraw Hill, 2012
– Coelho-Santos V, Shih AY. WIREs Dev Biol 2020;9:e363.
– Kaplan L, Chow BW, Gu C. Nature 2020, 21, 416-431
– Gorelick PB, et al. Stroke 2017;48:e00
– Gregg L, 2020
– Houk JL, et al. JNS 2021,136(6):1796-1803
– Farb RI, et al. AJNR 2019;40:745–53
– Case courtesy of Albakheet SS, Radiopaedia.org, rID 52865
– Case courtesy of Di Muzio B, Radiopaedia.org, rID 55441
– Case courtesy of Gaillard F, Radiopaedia.org, rID 169151

References:
– Goldstein JN, et al. Cephalalgia 2006;26(6):684-690
– Cephalalgia 2018 Jan;38(1):1-211
– Devenney E, et al. J Headache Pain 2014;15:49
– Roberts T, et al. Emerg Med J 2022;39:803–809
– Debette S, CADISP Group. Neurology 2011 Sep 20;77(12):1174-81
– Bejot Y, et al. Stroke 2014;45:37-41
– Rose JC, Mayer SA. Neurocrit Care 2004;1:287-99
– Lidington D, et al. Front Neurol 2021;12:1-29
– Anderson RG, et al. Frontiers of Neurology 2020;11(463):1-10
– Duman T, et al. JSCVD 2017;26(8):1848–57
– Beaumont TL, et al. J Neurosurg 2016;125:1420-1430
– O’Neill AH, et al. J of Clinical Neuroscience 2018;53:122–126
– Donegan D, Erickson D. J of the Endocrine Society 2022;6:1–10
– Schievink WI. NEJM 2021;385:2173-8
– Dobrocky T, et al. Lancet Neurol 2022;21:369–80
– Dobrocky T, et al. JAMA Neurol 2019;76(5):580-587
– Cheema S, et al. J Neurol Neurosurg Psych 2023;94:835–843
– Roberts T, et al. Emerg Med J 2022;39:803–9
– Walton M, et al. Emerg Med J 2022;39:818–25
– Perry JJ, et al. JAMA 2013;310:1248–55
– Rocha EA, et al. Neurology 2019;92(7):e639-47
– John S, et al. Cephalalgia 2016;36(4):387

Music, Sounds:
– “Feels” by Patrick Patrikios

DISCLAIMER: Please note that this material was simplified for educational purposes. For patient management, please review your clinical society’s guidelines and engage expert consultation where appropriate. Also, the opinions of the presenters do not necessarily reflect those of Rutgers Robert Wood Johnson Medical School, Robert Wood Johnson University Hospital, RWJBarnabus Health, or Rutgers University as a whole.
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“Cluster headache attack is an intense and severe strictly unilateral pain around the eye. It is describe as the worst ever headache, using comparisons such as childbirth, fractures and renal stones. The pain ramps up quite quickly once it starts and typically remains for 15–180 min when untreated.”

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There are headaches, there are migraines, and then there are headaches so painful they’re called “suicide headaches.” Dr. Max Gomez has more on a new device that may offer a new hope for relief.
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Symptoms
https://covid.joinzoe.com/post/early-covid-signs

Headache and Fatigue

Dark Horses of COVID Symptoms

Most commonly experienced early symptoms are:

Headache, 82%

Fatigue 72%

This is the case for all age groups

9% of COVID-positive adults aged 18 – 65 didn’t experience headache or fatigue

1% of people who reported fatigue and/or headache tested positive for COVID

3% of people who tested positive had headache and fatigue alone

Therefore

Having either or both of those symptoms alone is unlikely to be indicative of COVID.

The Classic Three are Still Key

Cough, fever, loss of smell

40% of all age groups, fever in the first seven days

Infographics

https://covid.joinzoe.com/earlysymptomsdiscoveries

British association of dermatologists

https://covidskinsigns.com
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Researchers hope a new project will provide relief for sufferers of cluster headaches.

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