The exact cause of cluster headaches is unknown, but abnormalities in the hypothalamus likely play a role. Cluster attacks usually occur with clocklike regularity during a 24-hour day, and the cycle of cluster periods often follows the seasons of the year.
These patterns suggest that the body's biological clock is involved. In humans, the biological clock is located in the hypothalamus, which lies deep in the center of your brain.
Abnormalities of the hypothalamus may explain the timing and cyclical nature of cluster headache. Imaging studies have detected increased activity in the hypothalamus during the course of a cluster headache.
Unlike migraine and tension headache, cluster headache generally isn't associated with triggers, such as foods, hormonal changes or stress. Some people experience an aura or nausea similar to those experienced with migraine headaches.
Once a cluster period begins, however, consumption of alcohol can quickly trigger a splitting headache. For this reason, many people with cluster headache avoid alcohol for the duration of a cluster period.
Other possible triggers include the use of medications such as nitroglycerin, a drug used to treat heart disease.
June 04, 2013
- Headache: Hope through research. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/headache/detail_headache.htm. Accessed April 4, 2013.
- May A. Cluster headache: Epidemiology, clinical features and diagnosis. http://www.uptodate.com/home. Accessed April 4, 2013.
- May A. Cluster headache: Acute and preventive treatment. http://www.uptodate.com/home. Accessed April 4, 2013.
- Daroff RB, et al. Bradley's Neurology in Clinical Practice. 6th ed. Philadelphia, Pa.: Saunders Elsevier; 2012. http://www.mdconsult.com/books/page.do?eid=4-u1.0-B978-1-4377-0434-1..00094-3--s0015&isbn=978-1-4377-0434-1&uniqId=407506908-3#4-u1.0-B978-1-4377-0434-1..00094-3--s0015. Accessed April 4, 2013.
- Cluster headaches. National Headache Foundation. http://www.headaches.org/education/Headache_Topic_Sheets/Cluster_Headaches. Accessed April 10, 2013.
- Neurological diagnostic tests and procedures. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/misc/diagnostic_tests.htm. Accessed April 9, 2013.
- Evers S. Pharmacotherapy of cluster headache. Expert Opinion on Pharmacotherapy. 2010;11:2121.
- Francis GJ, et al. Acute and preventive pharmacologic treatment of cluster headache. Neurology. 2010;75:463.
- Rossi P, et al. Use of complementary and alternative medicine by patients with cluster headache: Results of a multi-centre headache clinic survey. Complementary Therapies in Medicine. 2008;16:220.
- Sewell RA. Response of cluster headache to kudzu. Headache. 2009;49:98.
- Magis D, et al. Neurostimulation therapies for primary headache disorders: Present and future. Current Opinion in Neurology. 2012;25:269.
- U.S. News best hospitals 2012-2013. U.S. News & World Report. http://health.usnews.com/best-hospitals/rankings. Accessed April 4, 2013.