Haven't been on in a while. The CH cycle ended in late March, helped with 200mg of Topamax. However, I have started a new round of daytime headaches that get kicked off by various "events", yet are still aborted by the traditional CH assistants (O2 or running, Sumavel, Cambia). My doc says these are like a hybrid Migraine/CH. They never seem to come at night (the way my CH does), and I don't get that same type of buildup as CH, but I get the same level of pain, and it settles in the same part of my head/eye with throbbing that goes to the other side of my head as well. Very odd. Anyone else get this hybrid kind of headache?

We often write here about the changing nature of CH, especially during the early months, even years, of a newly developed case. So, could be that feature presenting itself.

And our doc's comment has medical support, too:

Curr Pain Headache Rep. 2007 Apr;11(2):154-7. 


Cluster-migraine: does it exist?

Applebee AM, Shapiro RE.

Given C219B, Department of Neurology, University of Vermont College of Medicine, 89 Beaumont Avenue, Burlington, VT 05405, USA. robert.shapiro@uvm.edu.

The nosological boundaries between cluster headache and migraine are sometimes ill-defined. Although the two disorders are distinct clinical entities, patients sometimes present with clinical scenarios having characteristics of both headache types, but either do not fully meet International Classification of Headache Disorders, Second Edition diagnostic criteria for either disorder or have sufficient symptoms and signs to allow both diagnoses to be present. These occasions provide diagnostic challenges and include what is variously described as migraine-cluster, cyclical migraine, clustering episodes of migraine, cluster with aura, or atypical cluster without autonomic symptoms or severe pain. Patients with symptoms overlapping cluster headache and migraine likely reflect the inherent clinical variability in each of these two disorders, rather than distinct diagnostic entities in their own right.

PMID: 17367596

Quote:

Patients with symptoms overlapping cluster headache and migraine likely reflect the inherent clinical variability in each of these two disorders

That's a cool line. Talk about a definite result. Anyway, I know when I have multiple hits in a given day, with intermittent shadows, it can kick off a migraine. But I don't think that's what you meant. Blessings. lance

Some days I just say to heck with it: it's a headache. And I either take a shot, take some Cambia, take some aspirin, or take all 3.