As a surgeon with seasonal cluster headaches for six years, this season was by far the most severe and long lasting. No response to high dose steroids, Verapamil, Vit D 3, etc.
I had 82 Imitrex injections in 8 weeks. (I learned to cut them in half as per an old blog on this site.)
Out of desperation, my neurologist suggested I try a sub-occipital injection. This is not just an occipital nerve injection but an injection at under the base of the skull by a knowledgeable interventional radiologist. I was very skeptical.
While one case means nothing in medicine and while testimonials are frowned upon in medicine, I have to say it worked. I have had no headaches for two weeks. I still have some background shadow headaches which tells me my season is not over, but no further killer CH's as I was having having 2-4 a day.
Just one beggar telling another where he found help.
Consider asking your neurologist to review the literature on a sub-occipital injection.

Bob Johnson wrote on Mar 23^rd, 2015 at 3:53pm:


Oh good gosh - YES!