Headache — Migraine vs Cluster vs Tension

A 28-year-old man presents with a 3-week history of severe, unilateral right-sided headaches occurring nightly around 2 AM. The pain is described as burning and boring, localized to the right eye and temple, lasting 45–90 minutes. Each episode is accompanied by right-sided lacrimation, nasal congestion, and conjunctival injection. He reports similar episodes occurred last year for 6 weeks and then resolved completely. Neurological examination is normal. Fundoscopy is unremarkable. What is the most likely diagnosis?

A 32-year-old woman presents with a 6-month history of recurrent headaches occurring 2–3 times per week. She describes a pressing, band-like sensation across both temples and the occipital region, lasting 30 minutes to 2 hours. The pain is mild to moderate in intensity and does not prevent her from working. She denies nausea, vomiting, photophobia, or phonophobia. Neurological examination is normal. She reports increased stress at work and poor sleep. What is the most likely diagnosis?

Which of the following is the most characteristic feature that distinguishes cluster headaches from migraine headaches?

Which headache type is characterized by a chronic daily pattern, bilateral distribution, and absence of autonomic or neurovegetative symptoms?

A 32-year-old woman presents with a 6-month history of recurrent headaches occurring 2–3 times per week. She describes a pressing, band-like sensation across both temples and the back of the head, lasting 30 minutes to 2 hours. She denies photophobia, phonophobia, nausea, or visual aura. The headaches are triggered by stress and prolonged computer work. Neurological examination is normal. There is no history of similar headaches in her family. What is the most likely diagnosis?