Table 1 Characteristics of primary headache disorders

From: Diagnosis and management of migraine in ten steps

Headache disorder

Headache duration

Headache location

Pain intensity

Pain characteristics

Accompanying symptoms

Routine physical activity

Migraine

4–72 h

Usually unilateral

Usually moderate or severe

Usually pulsating

Photophobia, phonophobia, nausea, vomiting

Often aggravated by routine physical activity

Tension-type headache

Hours to days or unremitting

Usually bilateral or circumferential

Usually mild or moderate

Usually pressing or tightening

Often none; sometimes photophobia or phonophobia (but not both); sometimes mild nausea in chronic tension-type headache

Not aggravated by routine physical activity

Cluster headache

15–180 min

Strictly unilateral and orbital, supraorbital, and/or temporal

Severe or very severe

Overwhelming

Ipsilateral to the headache: cranial autonomic symptoms, such as conjunctival injection, lacrimation, and nasal congestion

Restlessness or agitation