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Cluster vs. Episodic Migraine

Feature

Cluster

Migraine

Number of attacks
1-6 per day
1-10 per month
Duration of pain attack
30-180 minutes
4-72 hours
Location of pain
Always one-sided, around
the eyes; sometimes
referred to the back of
the head
One-sided or both sides
Occurrence of attacks
Multiple attacks daily for several weeks (1-8 per day)
Usually 2-7 per month
Time of day of attacks
Multiple daily attacks for weeks to months, nighttime too
Any time
Typical age at onset
Onset 20 years or older
Any time
Sex
Majority male
Majority female
Warning signs
None
Often present
Nausea and vomiting
2-5%
85%
Blurring of vision
Infrequent
Frequent
Tearing on painful side
Typical
Often
Nasal drainage
70%
Uncommon
Family history
7%
90%
Constriction of the pupil
50% of the time
Occasionally
Behavior during attack
Paces, pounds fist
Rests in quiet, dark room