Which of the following is descriptive of cluster headaches?

• A. Constant squeezing at the base of the skull
• B. A throbbing, unilateral anterior pain
• C. Palpable neck and stiff muscles
• D. Severe bone-crushing pain radiating from one eye

Answer: (D)

Cluster headaches are known for their extremely intense, unilateral pain around the eye or temple, often described as sharp, penetrating, or even bone-crushing in quality. The pain typically stays localized to one side and can radiate from the eye area, which is the hallmark feature of this type of headache. This intense orbital pain is usually accompanied by autonomic symptoms on the same side, such as tearing, nasal congestion, or drooping eyelid, reinforcing the eye-centered location.

The other descriptions fit different headache types. A constant squeezing sensation at the base of the skull aligns more with tension-type headaches, which are generally duller and bilateral. A throbbing, unilateral anterior pain points toward migraine, which commonly involves throbbing sensation and often nausea or light sensitivity. Palpable neck stiffness suggests muscular or cervical issues rather than cluster headaches. Therefore, the description of severe bone-crushing pain radiating from one eye best describes cluster headaches.