Cluster Headache in a Woman

Cluster Headache (CH) is a rare primary headache disorder affecting 0.05-0.1 % of the population [1]. It is more common in men than women, Male female ratio 6-7: 1 [6]. CH is characterised by recurrent attacks of severe, unilateral, retro or periorbital pain and/or temporal pain lasting for 15-180 minutes accompanied by ipsilateral autonomic symptoms in the eyes, nose and the face. Attacks being clustered (hence the name) in bouts that can occur during specific months of the year. During bouts, attacks may happen at specific hours especially at night. CH may be episodic or chronic based on presence of remission periods. Here we report a case of cluster headache in a woman aged 46, diagnosed as per the diagnostic criteria adapted from International classification of Headache diseases (ICHD-2& 3) [1, 2].