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A 39-year old man comes to the physician because he has had an intense, stabbing pain behind his left eye for 5 nights. The headaches generally begin 1 hour after he goes to bed and last for about 1 hour. During the pain, he has left-sided nasal stuffiness and tearing from his left eye. He had a similar series of nightly headaches for 6 weeks several years ago. Which of the following is the most likely diagnosis?



A. Cluster headache
B. Factitious disorder
C. Generalized anxiety disorder
D. Sinusitis
E. Temporal arteritis
F. Tension-type headache

This question is part of NBME 13 Section 2 (50 questions)
Asked by Chachelly, Last updated: Apr 05, 2020

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1 Answer

John Smith

John Smith

Answered Dec 29, 2016

Cluster headache

Cluster headaches: recurrent brief attacks of sudden severe unilateral peri-orbital pain. Can occur unexpectedly, often at a specific time of day/year, particularly during sleep. Causes excruciating pain behind the eyes. Idiopathic
 

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