Hello!
Welcome and thank you for asking on HCM!
Your symptoms seem to be related to a
Cluster Headache. It is not a typical
migraine, as autonomic features (stuffy nose, eye redness and pain, tearing) are not typical of migraine.
The duration (over 20 minutes) is typical of a Cluster Headache.
Although the facial twitching is not a characteristic of this type of headache.
I recommend consulting with a
neurologist for a careful physical examination and a brain CT scan or MRI to exclude a possible intracranial lesion (of the ponto cerebellary angle), which could be related to your symptomatology.
Some blood lab tests are also needed :
-
complete blood count (infection, anemia)
-PCR, sedimentation rate (inflammation, to exclude
temporal arteritis)
- blood electrolytes
You should discuss with your doctor on the above possibilities.
Hope to have been helpful!
Best regards!
Dr. Aida Quka