Cluster-tic headache

There is now recognized an overlap between trigeminal neuralgia-type headache and cluster headaches. The diagnostic characteristics of the cluster-tic syndrome are analyzed by Alberca and Ochoa (1994). The headaches are characterized by short attacks of pain localized in the facial territory with autonomic signs during attacks which come in clusters. Still another overlap syndrome such as chronic paroxysmal hemicrania and tic has been reported (Mulleners and Verhagen, 1996).