Posted by: Johan | 2017/11/24


Please elaborate on "cluster headaches can be permanently eliminated with most patients". What needs to be done? What meds could be taken that's more effective than Migril?

I suffer from cluster headaches. Started about 12 years ago. Normally get them around November - January and the period lasts for about 3 to 8 weeks. It does not occur every year (nothing for the last 2 years). Currently going through such a period. I use Migril. Take it the moment I feel a headache starting and this relieves much pain. My questions relate to Dr. Shevel's reply to "Niel" who posted 22-10-2017.

Expert's Reply


Headache expert
- 2017/11/24

Dear Johan,

The pain in cluster is caused by certain small arteries in the scalp and one in the mouth (the arteries in the brain are not involved in cluster). For some unknown reason they dilate and the walls stretch and become painful. Migril is not a pain killer - its main ingredient is ergotamine. This helps because it reverses the painful dilatation of the arteries. To permanently eliminate the clusters these arteries can be closed permanently. It is a procedure carried out in a day clinic, and is about as traumatic as having the wisdom teeth removed. To listen to some of the patients who have had the procedure go to http://www.theheadacheclinic.net/tag/cluster-headache/

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

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Posted by: Johan | 2017/11/24

Thank you.

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