Cyclic Headaches

A cyclic headache is a type of migraine headache that is often incorrectly called a cluster headache, according to the Cleveland Clinic. These headaches last for one to six weeks at a time, vacillating in severity. A cyclic headaches might be a low, dull headache one day and explode into a full-blown migraine the next day throughout the cycle.

Diagnosis

• Cyclic headaches are difficult to diagnose at their first appearance. That's because the pain and symptoms of cyclic headaches mimic migraines and cluster headaches, with which they are commonly confused. Cyclic headache cycles last one to six weeks, whereas cluster headaches last for one to three months.

  One difference between cyclic headaches and cluster headaches has to do with the patient's ability to lie down during the episode. Most people experiencing cluster headaches cannot lie down, but cyclic headache sufferers can. It can take several months and close consultation with your doctor to properly diagnose and treat cyclic headaches.

Frequency

• While the duration of the cyclic "headache" can last for weeks, patients may experience a low-grade headache for much of that time. A more severe migraine often occurs one or more times per week during the cycle. Once the cycle ends, a patient may not have another cyclic migraine for several weeks or several months. The frequency of these headaches can have a significant impact on a patient's personal and work life.

Onset

• More women are affected by cyclic migraines than men, according to the Cleveland Clinic. Of those who suffer from cyclic migraines, at least 50 percent have a family history of migraines. The onset of cyclic migraines is often in the first or second decade of life; the condition is a lifelong one. Children complaining of chronic headaches should be thoroughly evaluated by a doctor.

Cause

• There is no known cause for cyclic migraines. In some cases, neurological problems manifest symptoms of cyclic migraines. In these instances, treating an underlying problem can reduce the frequency of cyclic migraines. For most patients, finding the cause becomes less important than managing the symptoms.

Treatment

• Treatment for those with cyclic migraines starts with lithium carbonate, a drug used to treat mood disorders such as bipolar disorder. A second treatment option is indomethacin, a nonsteroidal anti-inflammatory drug that reduces hormone levels that lead to inflammation.

  According to the Cleveland Clinic, standard migraine medications and over-the-counter pain relievers may reduce the pain and frequency of cyclic migraines. Patients might also benefit from reducing caffeine consumption and spending time in quiet areas and dark rooms to alleviate the severe periods of cyclic headaches. Consult your doctor about the best treatment for you.