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Cluster headaches are typically characterized by:

  1. Continuously throbbing pain

  2. Severe pain localized around the eye or temple

  3. Bilateral headache lasting over 24 hours

  4. Sharp pain with spots in vision

The correct answer is: Severe pain localized around the eye or temple

Cluster headaches are indeed characterized by severe pain that is typically localized around the eye or temple. This type of headache is known for its intense, stabbing pain, which can be very debilitating. The pain often occurs in episodes or "clusters," leading to bouts of attacks that can last for weeks or months, followed by periods of remission. This distinctive location of the pain, along with its intensity, is a key feature that differentiates cluster headaches from other types of headaches, such as migraines or tension-type headaches. The nature of cluster headaches often means patients describe the pain as excruciating and can be accompanied by other symptoms such as nasal congestion or tearing of the eye on the affected side. Recognizing the specific characteristics of cluster headaches can help in distinguishing them from other types of headaches and lead to appropriate treatment approaches.