A 34-year-old man has severe unilateral headache with ipsilateral lacrimation, rhinorrhea, ptosis, and restlessness. Attacks last 45 minutes and

Question

A 34-year-old man has severe unilateral headache with ipsilateral lacrimation, rhinorrhea, ptosis, and restlessness. Attacks last 45 minutes and occur nightly for 2 weeks. Neurologic examination is normal between attacks. Which of the following is the most likely diagnosis?

Accepted Answer

Cluster headache

Answer

Migraine without aura

Answer

Temporal arteritis

Answer

Subarachnoid hemorrhage

Answer

Tension-type headache

Cluster headache — USMLE Step 3 MCQ

A 34-year-old man has severe unilateral headache with ipsilateral lacrimation, rhinorrhea, ptosis, and restlessness. Attacks last 45 minutes and occur nightly for 2 weeks. Neurologic examination is normal between attacks. Which of the following is the most likely diagnosis?