Cluster headache is an extremely painful and disabling condition. Often there is a significant delay to diagnosis. Medical interventions can shorten or ameliorate the intensity of discomfort during an attack. The best management strategy is to terminate a bout early.
- The diagnosis of cluster headache should not be missed. Other diagnoses such as paroxysmal hemicrania may need to be actively excluded.
- Management strategies for cluster headache are often effective.
- Patients should be referred to a neurologist if the diagnosis is in doubt or if initial management strategies have failed.
- Several new treatment modalities will become available soon for treatment-resistant patients.