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Clustering headache
Clustering (beaming), cluster headache is probably the most painful, not only among other forms of headache, but also in the diversity of pain syndromes. It predominantly affects men over 30 years of age. Starting between 20 and 30 years of life, the cluster headache is not completely over by 60-65 years, manifested characteristically by periods of pain (so-called pain bundles) at a frequency of once every two years to once every 6-8 years; Beam length ranges from two weeks up to 3 months. In bright, between pain periods, continuing in most cases years, patients with cluster headache forgets his illness and vibrantly lives. In the chronic form of the cluster headache, which, fortunately, is rare, no remission is less than 3 weeks.
Clinically cluster headache is a painful stinging attack, pulsating strictly and bringing unilateral pain, which captures the eye area typically, can affect the upper jaw, skull and behind ears area. During the attack patient is aggressive, cannot be alone, because the pain forced him to move, to go from corner to corner, trying to grab the head with both hands. At the height of attacks cluster headache, most of the patients on the side of pain got problems with tears and redder eyes, a nose, may increase sweating on the forehead, fewer falls century and tighten position. During the "bundle" attacks occur 1-3 times a day, one of them necessarily moving in the night to raise the patient from sleep; Such attacks lasting from 15 minutes to 2 hours. Most patients with cluster headache could not identify the factors that provoke aggravation. It is believed that some importance in the origin of a cluster headache, and in the preparation of the next exacerbation can be a violation of normal rhythm of life : changes in the daily schedule, the change in climatic zones, etc. attacks usually occur without any provocative factor. But some patients are clearly associated with tobacco, alcohol, which patients in pain "bundle" cannot consume. Nature of the cluster headache is linked to a set of factors, among which the leading role played by neurogenic, and neuro chemical biorhythmic and secondary-vascular mechanisms.
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Cluster Headache 