Hello, I'm Jean Pierre, 49 years and I live in Belgium.

On October 3, I had such an attack of 'migraine' that I had a 'black out' for several minutes. I had been suffering these migraine attacks for about a year... 3 to 4 times a week mostly during the night. They lasted never more than a couple of hours, where tremendously painful and no painkiller would help.

But from that day on these attacks came 2 to 4 times a day... day and night. All kind of test were done and finally a neurologist told my that I had CH. So we started treatment after treatment... and now nine weeks later, the 'beast' releases his power about 4 tot 6 times a day... sometimes giving me only about half an hour to get ready for the next visit. So I'm glad I found this place...

If you have the option of locating a headache specialist --this would be your best option. This area of medicine is very complex and the majority of physicians have quite limted training in headache.

You may find this article a good introduction to CH:

 
Cluster headache.
From: Multimedia File Viewing and Clickable Links are available for Registered Members only!!  You need to or (Orphanet Journal of Rare Diseases)
[Easy to read; one of the better overview articles I've seen. Suggest printing the full length article--link, line above--if you are serious about keeping a good medical library on the subject.]

Leroux E, Ducros A.

ABSTRACT: Cluster headache (CH) is a primary headache disease characterized by recurrent short-lasting attacks (15 to 180 minutes) of excruciating unilateral periorbital pain accompanied by ipsilateral autonomic signs (lacrimation, nasal congestion, ptosis, miosis, lid edema, redness of the eye). It affects young adults, predominantly males. Prevalence is estimated at 0.5-1.0/1,000. CH has a circannual and circadian periodicity, attacks being clustered (hence the name) in bouts that can occur during specific months of the year. ALCOHOL IS THE ONLY DIETARY TRIGGER OF CH, STRONG ODORS (MAINLY SOLVENTS AND CIGARETTE SMOKE) AND NAPPING MAY ALSO TRIGGER CH ATTACKS. During bouts, attacks may happen at precise hours, especially during the night. During the attacks, patients tend to be restless. CH may be episodic or chronic, depending on the presence of remission periods. CH IS ASSOCIATED WITH TRIGEMINOVASCULAR ACTIVATION AND NEUROENDOCRINE AND VEGETATIVE DISTURBANCES, HOWEVER, THE PRECISE CAUSATIVE MECHANISMS REMAIN UNKNOWN. Involvement of the hypothalamus (a structure regulating endocrine function and sleep-wake rhythms) has been confirmed, explaining, at least in part, the cyclic aspects of CH. The disease is familial in about 10% of cases. Genetic factors play a role in CH susceptibility, and a causative role has been suggested for the hypocretin receptor gene. Diagnosis is clinical. Differential diagnoses include other primary headache diseases such as migraine, paroxysmal hemicrania and SUNCT syndrome. At present, there is no curative treatment. There are efficient treatments to shorten the painful attacks (acute treatments) and to reduce the number of daily attacks (prophylactic treatments). Acute treatment is based on subcutaneous administration of sumatriptan and high-flow oxygen. Verapamil, lithium, methysergide, prednisone, greater occipital nerve blocks and topiramate may be used for prophylaxis. In refractory cases, deep-brain stimulation of the hypothalamus and greater occipital nerve stimulators have been tried in experimental settings.THE DISEASE COURSE OVER A LIFETIME IS UNPREDICTABLE. Some patients have only one period of attacks, while in others the disease evolves from episodic to chronic form.

PMID: 18651939 [PubMed]

Jean Pierre,

Please realize that the treatment after treatment a neurologist (especially a non headache specialist) typically prescribes is worthless more often than not. Meanwhile, there are very effective treatments that we're pretty familiar with here.

So yeah please let us know what sorta treatment you've been trying (I seriously doubt it's been 15+ LPM O2 with non re-breather. It works, but fat chance any neurologist bozo is going to prescribe it or even know about it).

I hope your doctor told you not to mix the sumatriptan and the almogran (Axert in the US).  I'm not a ch'er, but Axert didn't do anything for my migraines.