3.1 Diagnostic criteria: |
A At least five attacks fulfilling B–D |
B Severe or very severe unilateral orbital, supraorbital and/or temporal pain lasting 15–180 minutes if untreated |
C Headache is accompanied by at least one of the following: |
(1) Ipsilateral conjunctival injection and/or lacrimation |
(2) Ipsilateral nasal congestion and/or rhinorrhoea |
(3) Forehead and facial sweating |
(4) Ipsilateral eyelid oedema |
(5) Ipsilateral forehead and facial sweating |
(6) Ipsilateral miosis and/or ptosis |
(7) A sense of restlessness or agitation |
D Attacks have a frequency from one every other day to eight per day |
E Not attributed to another disorder |
3.1.1 Episodic cluster headache |
Description: Occurs in periods lasting seven days to one year separated by pain free periods lasting one month or more |
Diagnostic criteria: |
A All fulfilling criteria A–E of 3.1 |
B At least two cluster periods lasting from 7 to 365 days and separated by pain free remissions of one month or more |
3.1.2 Chronic cluster headache |
Description: Attacks occur for more than one year without remission or with remissions lasting less than one month |
Diagnostic criteria: |
A All alphabetical headings of 3.1 |
B Attacks recur for more than one year without remission periods or with remission periods lasting less than one month |