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Post-Stroke Aspiration Pneumonia — SCE Neurology MCQ

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HardNeurorehabilitationPost-Stroke Aspiration PneumoniaSCE Neurology

A 41-year-old has excruciating strictly unilateral orbital pain with lacrimation, ptosis and pacing. Untreated attacks last 100 minutes, occur twice nightly for 6 weeks and then remit for a year. Which feature most specifically separates this from paroxysmal hemicrania?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: B — Attack duration of 100 minutes

Explanation lettering: D = shown as C · C = shown as D

A, C, D and E occur in both disorders and do not discriminate them. B is correct: 100 minutes sits squarely within the 15–180-minute cluster range, whereas paroxysmal hemicrania attacks are typically 2–30 minutes and much more frequent, with an absolute indometacin response. The bout-remission pattern and agitation add support but duration is the most specific listed distinction.

Reference: ICHD-3: cluster headache: https://ichd-3.org/3-trigeminal-autonomic-cephalalgias/3-1-cluster-headache/