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My husband who just turned 40 developed a headache about 3 weeks ago. It is in the right side and goes from his eye, back across the temple to the back of his head. The headache is constant. About a week after the headache started, his right eye become swollen, he can only open it about half way and it is very red and that pupil is not responsive, but there are no vision changes. He has taken ibuprofen, Excedrin Migraine and Aleve to try to get it stop, but nothing has worked. The other night it got bad enough that we went to the ER. He had no temperature and they were very concerned about his symptoms. They did a ct scan which showed nothing. He was given a powerful pain killer and it did not get rid of the headache. They insisted he come back in the morning (small hosptial, MRI not available at night) for an MRA. He made almost through the test, but couldn't bear the noise and pounding in his head. I do have more to ask, but I'm running out of characters to type.

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replied February 15th, 2010
Headache and Migraines Answer A10063
Hi, welcome to the ehealth forum and I am glad to help you.
You seem to be concerned by the headache that your husband is experiencing for the last 3 weeks which is not responding to excedrin, ibuprofen, naproxen(Aleve).
From the nature and character of the headache that you have described, it might be a cluster headache. Cluster headache is a treatable vascular headache syndrome which occurs in 1-3 attacks of periorbital pain per day over a 4-8 week period followed by a pain free interval that averages 1 year. This is the most common episodic type and is more common in men and has an onset in age group of 20-50 years.
Periorbital(around the eye) pain or temporal(around the temple)pain is explosive in quality and is deep, nonfluctuating type and is associated with redness of eye, lid drooping, watering from eyes etc. Attacks are periodic in nature.
Effective prophylactic drugs are prednisone, lithium, methysergide, ergotamine, sodium valproate and verapamil.
You must consult your doctor for definitive diagnosis and treatment.
Hope this helps. Take care.
Note: This post is not to emphasise final diagnosis as the same cannot be made online and is aimed just to provide medical information and no treatment suggested above be taken without face to face consultation with health care professional.

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