Certified Neuroscience Registered Nurse (CNRN) Practice Exam

What is a major complication associated with untreated cluster headaches?

1. Psychotic episodes

2. Chronic pain syndrome

3. Suicidal ideation

4. Chronic otitis media

The correct answer is: Suicidal ideation

Untreated cluster headaches can lead to a significant psychological impact on individuals, often resulting in suicidal ideation. Cluster headaches are characterized by excruciating pain that can occur in cyclical patterns or clusters, making them one of the most debilitating types of headaches. The intensity and frequency of the pain can contribute to feelings of hopelessness and despair, as well as severe emotional distress. The nature of cluster headaches, with their sudden onset and severe pain, can create a sense of urgency and desperation in those affected. As episodes can be incredibly painful and disruptive to daily life, the burden of living with this condition untreated can lead individuals to contemplate suicidal thoughts as they struggle to cope with the pain and its impact on their quality of life. In contrast, while chronic pain syndrome can indeed develop in some patients over time, it is not a direct complication of untreated cluster headaches in the same way that suicidal ideation is. Other options like psychotic episodes and chronic otitis media are not typically associated with cluster headache pathology or outcomes, further emphasizing the seriousness of untreated cluster headaches in terms of mental health and the risk of self-harm.