a 45 year old man presents with a daily head ache . he describes two attacks per day , over the past three years . each attack lasts about an hour and awakens the patient from sleep .the patient has noted associated tearing and reddening of his right eye as well as nasal stuffiness. The pain is deep, excruciating and limited to the right side of the head . the neurological examination is non focal . the most likely diagnosis of this patient’s headache is ?
a- migraine headache
b- cluster headache
c- tension headache
d- brain tumor
answer is b. cluster headache .
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