A member asked:

I was diagnosed with cluster headache after getting new onset severe stabbing pains in my r temple.don't normally get headaches.was put on prednisone 40 mg x 5 days.will it likely come back? is this an inflammatory condition? i do have sle as well?

3 doctors weighed in across 3 answers
Dr. Hiep Le answered

Specializes in Nephrology and Dialysis

Cluster headache is not treated with steroid alone. I wonder if the treating doctor suspects vasculitis related headache such as temporal arteritis but 5 days of Prednisone is not the right treatment duration. Are you currently on any maintenance therapy for SLE?

Answered 12/4/2021

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Obtain neurologist and explore ways of preventative intervention. Can be chronic and best to stop prior to onset

Answered 12/14/2021

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Dr. Dwight Romriell answered

Specializes in Pain Management

I regard "Cluster Headache" as a symptom not so much as a diagnosis. The underlying problem could be as simple as temporal muscle tension or muscle spasm for a TMJ disorder which I have seen many times. An underlying cause or diagnosis is very much in order.

Answered 12/9/2021

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