Table 1 Characteristics of primary headache disorders
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 |