Cluster
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Short articles without jargon. Each is checked against scientific publications, with sources at the end.

What cluster headache is

The most severe headache. Attacks last 15–180 minutes, strictly one-sided.

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Cycles and the body clock

Attacks come in runs and almost on schedule. The hypothalamus is behind it.

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How it differs from migraine

With migraine you lie down, with cluster headache you cannot keep still.

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What sets off an attack

Alcohol during a cycle almost always. Also naps, smells and low oxygen.

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Oxygen done right

100% oxygen, non-rebreather mask, 12–15 litres per minute. Cans do not work.

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Preparing for a cycle

Plan ahead: a doctor, oxygen at home, a diary, a plan for the night.

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Getting the right diagnosis

People wait 3 to 9 years on average for a diagnosis. Here is how to shorten that.

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Smoking and cluster headache

Smokers are heavily over-represented. Genetics suggests it is more than coincidence.

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Sleep, snoring and apnoea

Many attacks come at night. A link with apnoea is possible, but the data are mixed.

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Heredity and genes

Genetics affects risk. In 2023 eight DNA regions linked to the disease were found.

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Women, pregnancy and breastfeeding

Women get it less often, but just as hard. In pregnancy oxygen stays the first choice.

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When it gets really hard

Dark thoughts during an attack are common. They pass, and they are a reason to step up treatment.

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3D: BodyParts3D, © The Database Center for Life Science, CC BY-SA 2.1 Japan.

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