Attribute |
Feature |
Likely condition(s) |
Autonomic symptoms |
Prominent |
Cluster headache, SUNCT, CPH |
Variable |
Migraine, TN, PHN (mild if at all) |
None |
Giant cell arteritis, dental pain |
Duration of attack |
Continuous pain over prolonged period |
PHN, giant cell arteritis, migraine, sometimes dental pain |
Minutes only |
SUNA/SUNCT, cracked tooth, TN |
Minutes to 45 minutes |
CPH |
Repeated brief attacks |
Cluster headache, TN |
Persistent, unrelenting |
TMD |
Pain location |
Unilateral |
TN, migraine, TMD |
Forehead |
SUNA/SUNCT, CPH, PHN, giant cell arteritis |
Retrobulbar |
TN (unilateral), cluster headache (unilateral) SUNCT, CPH, PHN, giant cell arteritis |
Cheek, chin |
TN, migraine, dental, TMD |
Temple |
Tension-type headache, giant cell arteritis, TMD |
Intraoral |
Dental, TN |
Ear |
TMD |
Paroxysmal pain |
Only paroxysms |
TN, SUNA/SUNCT |
Paroxysms against background of continuous pain |
Cluster headache, sometimes TN, sometimes dental pain, PHN |
Triggers |
Yes |
Cluster headache, migraine, TN, dental pain, possibly PHN |
No |
Giant cell arteritis |
Other factors |
Sex |
Migraine is more common in women, SUNCT is almost exclusively in women, cluster headache is more common among men |
History |
Dental procedures or trauma can precede dental pain; PHN requires a history of shingles |
Restlessness, agitation |
Cluster headache |