A 26-year-old man presents with acute onset unilateral periorbital pain, ipsilateral lacrimation and nasal congestion. Attacks last 45 minutes and occ...

Question

A 26-year-old man presents with acute onset unilateral periorbital pain, ipsilateral lacrimation and nasal congestion. Attacks last 45 minutes and occur twice daily for 2 weeks. Between attacks he is asymptomatic. What is the most likely diagnosis?

Accepted Answer

Cluster headache

Answer

Migraine without aura

Answer

Tension-type headache

Answer

Temporal arteritis

Answer

Subarachnoid haemorrhage

ca-mccqe1 MCQ (SBA): Cluster headache

A 26-year-old man presents with acute onset unilateral periorbital pain, ipsilateral lacrimation and nasal congestion. Attacks last 45 minutes and occur twice daily for 2 weeks. Between attacks he is asymptomatic. What is the most likely diagnosis?