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Cluster headache (CH) is classified by the International Headache Society (IHS) as severe, unilateral orbital, supraorbital, or temporal pain lasting 15–180 minutes untreated. The headache is associated with signs of dysfunction of the autonomic nervous system on the pain-side, e.g., conjunctival injection, nasal congestion, lacrimation, Horner’s syndrome, and rhinorrhea. The attack frequency may vary from one every other day to eight per day.1 In many cases, attacks stereotypically occur with a seasonal or circadian rhythmicity.2 Recent studies have reported increasing CH prevalence in women.3
We report a woman with episodic cluster-like headaches who repeatedly experienced her attacks in close temporal association to her menses. Furthermore, prevention of menstruation by continuous intake of oral contraceptives also prevented her headaches.
Case report.
In 1999, a 39-year-old right-handed woman presented with a 5-year history of attacks of left-sided, severe pain lasting 30–120 minutes, if untreated. The patient described the pain as stabbing and throbbing, with acute onset and accentuation in the temporo-orbital region. Pain …
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