Cluster headaches are extremely painful headaches that occur in cyclical patterns. They are characterized by severe, burning pain around the eye and can be more intense than migraines. Attacks typically last 15-180 minutes and occur multiple times per day during "cluster periods" that can last for weeks or months, followed by remission periods without headaches. The cause of cluster headaches is thought to involve hypothalamic dysfunction that triggers the trigeminal nerve and causes blood vessel dilation, producing the severe pain. Prevention focuses on treatments to suppress attacks and shorten cluster periods since there is no cure.