Abstract

Tension-type headache(TTH) is the most common and cluster headache(CH) is relatively uncommon of primary headache disorder. CH is the most unique and painful of the primary headache disorders. However TTH is featureless syndrome. Physicians often experience difficulty for managing TTH and CH. TTH is the most costly and common form of headache and what many people consider a normal headache, in contrast to migraine. Many TTH patients self treat acute attacks and seek advice when attacks become frequent or chronic. CH is characterized by recurrent monomorphic headache attacks associated with cranial autonomic symptoms. Despite its clear clinical presentation, many CH patients are misdiagnosed or mismanaged. Other primary headache syndromes can sometimes be managed nonmedicinally, but in regard to CH, medication, sometimes even polypharmacy, is indicated. Because most patients who have CH have episodic CH, medications are only used while a patient is in cycle and are stopped during remission periods.