Hi,
My last neurologist told me that cluster headache always come in same side of the face and never change is that true ?

No. Some people have experienced a switch. It's uncommon though. After years of pain always on the same side, then suddenly pain starts the other side, they have not recognised it as CH, and gone and had thier teeth pulled. Then the damned thing goes back to where it started.  Luckily, not me - yet.
Maz

Your neurologist is incorrect. CHs can switch sides for a small proportion of people with CH. This can be between cycles or more rarely during a cycle.

I've had a couple of left sided CHs which really confused me at the time but they responded to oxygen just like my "normal" CHs. Equally my "normal" CHs are located on my right temple but I've had a couple around my eye at which point I rapidly understood how people want to attack their eyeball.

For some people what has caused their CH to switch sides is having their trigemenial nerve "cut", either physically, chemically or using gamma rays. But for most people there is no obvious reason.

I had it for a month in the left side then another month in the right side both in the same year.


Quote:

they have not recognised it as CH, and gone and had thier teeth pulled.

This happened to me in the beginning many times

J Headache Pain. 2009 Aug;10(4):259-63. Epub 2009 Jun 3.
Lateralization in cluster headache: a Nordic multicenter study.

Meyer EL, Laurell K, Artto V, Bendtsen L, Linde M, Kallela M, Tronvik E, Zwart JA, Jensen RM, Hagen K.

Department of Clinical Neuroscience, Division of Neurology at Karolinska Insitutet, Stockholm, Sweden.

A slight predominance of cluster pain on the right side has been reported in several studies. The aim of this large retrospective Nordic multicenter study was to estimate the prevalence of right- and left-sided pain in cluster headache (CH) patients with side-locked pain, the prevalence of side shifts in episodic and chronic CH patients, and the occurrence of cranial autonomic symptoms related to pain side.

AMONG 383 CLUSTER PATIENTS, 55 (14%) HAD EXPERIENCED PAIN SIDE SHIFT. OF THE REMAINING 328 INDIVIDUALS WITHOUT SIDE SHIFT, THERE WAS NO SIGNIFICANT DIFFERENCE BETWEEN THE OCCURRENCE OF RIGHT-SIDED AND LEFT-SIDED PAIN (54 VS. 46%). THE PREVALENCE OF SIDE SHIFT WAS SIMILAR FOR EPISODIC AND CHRONIC CH AND THE OCCURRENCE OF CRANIAL AUTONOMIC SYMPTOMS WAS NOT INFLUENCED BY THE PAIN SIDE. In conclusion, previous reports of a side difference in location of cluster pain could not be confirmed in this large Nordic sample.

Publication Types:
Research Support, Non-U.S. Gov't

PMID: 19495933 [PubMed]
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Cephalalgia. 2008 Jul;28 Suppl 1:8-11.
Epidemiology of fixed unilateral headaches.

Leone M, Cecchini AP, Mea E, Tullo V, Bussone G.

Istituto Neurologico Carlo Besta, Milano, Italy. leone@istituto-besta.it

A fixed location unilateral headache suggests involvement of a precise nervous structure, and neuroimaging investigations are essential to seek to identify it. Nevertheless, SIDE-LOCKED PRIMARY HEADACHES ALSO OCCUR, ALTHOUGH THEY ARE RARE. SIDE-LOCKED PRIMARY HEADACHES ARE MORE FREQUENTLY FOUND IN THE GROUP OF THE SHORT-LASTING (</= 4 HOURS) HEADACHES but long-lasting headache forms may also present with the pain always on the same side, including migraine, tension-type headache, new daily persistent headache and cervicogenic headache. Future studies should address the issue whether patients with side-locked headache form differ from those with non-side-locked form both in terms of natural history and biological markers. Among 63 consecutive CHRONIC CLUSTER headache patients seen by us from 1999 to 2007, 32 (51%) had side shift. We ALSO FOUND THAT THE DURATION OF THE CHRONIC CONDITION WAS SIGNIFICANTLY LONGER IN THOSE WITH SIDE SHIFT THAN THOSE WITHOUT. The high frequency of side shift in chronic cluster headache should be considered when proposing surgical treatment for severe intractable forms of the disease.

Publication Types:
Review

PMID: 18494985
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There is an interesting absence of literature on this question after, about 1990.