患者 ,男 ,46岁 ,2月前“感冒”后出现发热、头痛 ,2天后发热缓解 ,但出现发作性后颈及前额疼痛。发作前无明显诱因 ,发作时伴大汗、流泪、畏光、双眼发红及恶心呕吐 ,有时伴头晕及耳鸣 ,持续约 5分钟至 1小时不等 ,呕吐后可明显减轻至消失 ,发作间期恢复如常。头痛初始以夜间? The patient, male, 46 years old, had fever and headache after “cold” two months ago, and fever was relieved after 2 days. However, there was episodic nape and forehead pain. Before the onset of no obvious incentive, attack with sweating, tearing, photophobia, red eyes and nausea and vomiting, sometimes accompanied by dizziness and tinnitus, lasted about 5 minutes to 1 hour range, vomiting can be significantly reduced to disappear after the attack Period back to normal. Headache initial to night?