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
-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!
Dr. Aida Quka