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Table 14

From: Reference programme: diagnosis and treatment of headache disorders and facial pain. Danish Headache Society, 3rd edition, 2020

  Cluster headache Paroxysmal hemicrania SUNCT
Epidemiology
 Gender ratio (M:F) 2–4:1 1:2–3 8–12:1
 Prevalence 0,9% 0,02% Very rare
 Typical age of onset 20–40 years of age 20–40 years of age 20–50 years of age
Pain
 Character Drilling/stabbing/squeezing Drilling Stabbing
 Intensity Very severe Severe Severe
 Localization Periorbital Orbital, temporal Orbital, temporal
 Attack duration 15–180 min 2–30 min 1–600 s.
 Attack frequency 1–8 per day 1–40 per day 3–200 per day
 Autonomic symptoms Yes Yes Yes
 Effect of indomethacin No Yes No
 Attack treatment Oxygen 12–15 l/min Inj. Sumatriptan Nasal spray sumatriptan None None
 Prophylactic treatment Verapamil, prednisone Indomethacin Lamotrigine, Topiramate, Gabapentin