Clinical Features of Probable Cluster Headache: A Prospective, Cross-Sectional Multicenter Study

Background: Epidemiological data of probable cluster headaches (CH) are scarce in the relevant literature. Here, we sought to assess the prevalence and clinical characteristics of probable CH in comparison with definite CH.Methods: Data used in this study were obtained from the Korean Cluster Headac...

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Main Authors: Jong-Hee Sohn, Yun-Ju Choi, Byung-Kun Kim, Pil-Wook Chung, Mi Ji Lee, Min Kyung Chu, Jin-Young Ahn, Byung-Su Kim, Tae-Jin Song, Kyungmi Oh, Kwang-Soo Lee, Soo-Kyoung Kim, Kwang-Yeol Park, Jae Myun Chung, Heui-Soo Moon, Chin-Sang Chung, Soo-Jin Cho, Jeong-Wook Park
Format: Article
Language:English
Published: Frontiers Media S.A. 2018-10-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fneur.2018.00908/full
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author Jong-Hee Sohn
Yun-Ju Choi
Byung-Kun Kim
Pil-Wook Chung
Mi Ji Lee
Min Kyung Chu
Jin-Young Ahn
Byung-Su Kim
Tae-Jin Song
Kyungmi Oh
Kwang-Soo Lee
Soo-Kyoung Kim
Kwang-Yeol Park
Jae Myun Chung
Heui-Soo Moon
Chin-Sang Chung
Soo-Jin Cho
Jeong-Wook Park
author_facet Jong-Hee Sohn
Yun-Ju Choi
Byung-Kun Kim
Pil-Wook Chung
Mi Ji Lee
Min Kyung Chu
Jin-Young Ahn
Byung-Su Kim
Tae-Jin Song
Kyungmi Oh
Kwang-Soo Lee
Soo-Kyoung Kim
Kwang-Yeol Park
Jae Myun Chung
Heui-Soo Moon
Chin-Sang Chung
Soo-Jin Cho
Jeong-Wook Park
author_sort Jong-Hee Sohn
collection DOAJ
description Background: Epidemiological data of probable cluster headaches (CH) are scarce in the relevant literature. Here, we sought to assess the prevalence and clinical characteristics of probable CH in comparison with definite CH.Methods: Data used in this study were obtained from the Korean Cluster Headache Registry (KCHR), a prospective, cross-sectional, multicenter headache registry that collected data from consecutive patients diagnosed with CH.Results: In total, 159 patients were enrolled in this study; 20 (12.6%) were diagnosed with probable CH. The most common unfulfilled criterion in patients with probable CH was the duration of attack, which was found in 40% of patients with probable CH. Among clinical characteristics, the number of autonomic symptoms tended to be lower in probable CH than in definite CH (1.7 ± 1.2 vs. 2.4 ± 1.5, p = 0.051) and conjunctival injection and lacrimation showed an increased odds ratio (OR) [OR = 3.03; 95% confidence interval (CI): 1.03–8.33] in definite CH. The groups did not differ with regard to baseline demographic characteristics, disability, impact on life, or treatment response.Conclusions: Probable CH is relatively common among CH disorders, with a clinical impact similar to that of definite CH.
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spelling doaj.art-af66882fbd8e45d39e0b9be717027caf2022-12-22T00:42:37ZengFrontiers Media S.A.Frontiers in Neurology1664-22952018-10-01910.3389/fneur.2018.00908420787Clinical Features of Probable Cluster Headache: A Prospective, Cross-Sectional Multicenter StudyJong-Hee Sohn0Yun-Ju Choi1Byung-Kun Kim2Pil-Wook Chung3Mi Ji Lee4Min Kyung Chu5Jin-Young Ahn6Byung-Su Kim7Tae-Jin Song8Kyungmi Oh9Kwang-Soo Lee10Soo-Kyoung Kim11Kwang-Yeol Park12Jae Myun Chung13Heui-Soo Moon14Chin-Sang Chung15Soo-Jin Cho16Jeong-Wook Park17Department of Neurology, Chuncheon Sacred Heart Hospital, Chuncheon, South KoreaDepartment of Neurology, Presbyterian Medical Center, Jeonju, South KoreaDepartment of Neurology, Eulji Hospital, Seoul, South KoreaDepartment of Neurology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, South KoreaDepartment of Neurology, Samsung Medical Center, Seoul, South KoreaDepartment of Neurology, Severance Hospital, Seoul, South KoreaDepartment of Neurology, Seoul Medical Center, Seoul, South KoreaDepartment of Neurology, Daejin Medical Center, Bundang Jesaeng General Hospital, Seongnam, South KoreaDepartment of Neurology, Ewha Womans University School of Medicine, Seoul, South Korea0Department of Neurology, Korea University College of Medicine, Seoul, South Korea1Department of Neurology, Seoul St. Mary's Hospital, Catholic University of Korea College of Medicine, Seoul, South Korea2Department of Neurology, Gyeongsang National University College of Medicine, Jinju, South Korea3Department of Neurology, Chung-Ang University Hospital, Seoul, South Korea4Department of Neurology, Inje University College of Medicine, Seoul, South KoreaDepartment of Neurology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, South KoreaDepartment of Neurology, Samsung Medical Center, Seoul, South Korea5Department of Neurology, Dongtan Sacred Heart Hospital, Hwaseong, South Korea6Department of Neurology, Uijeongbu St.Mary's Hospital, Uijeongbu, South KoreaBackground: Epidemiological data of probable cluster headaches (CH) are scarce in the relevant literature. Here, we sought to assess the prevalence and clinical characteristics of probable CH in comparison with definite CH.Methods: Data used in this study were obtained from the Korean Cluster Headache Registry (KCHR), a prospective, cross-sectional, multicenter headache registry that collected data from consecutive patients diagnosed with CH.Results: In total, 159 patients were enrolled in this study; 20 (12.6%) were diagnosed with probable CH. The most common unfulfilled criterion in patients with probable CH was the duration of attack, which was found in 40% of patients with probable CH. Among clinical characteristics, the number of autonomic symptoms tended to be lower in probable CH than in definite CH (1.7 ± 1.2 vs. 2.4 ± 1.5, p = 0.051) and conjunctival injection and lacrimation showed an increased odds ratio (OR) [OR = 3.03; 95% confidence interval (CI): 1.03–8.33] in definite CH. The groups did not differ with regard to baseline demographic characteristics, disability, impact on life, or treatment response.Conclusions: Probable CH is relatively common among CH disorders, with a clinical impact similar to that of definite CH.https://www.frontiersin.org/article/10.3389/fneur.2018.00908/fullcluster headacheautonomic symptomprobable diagnosisdefinite diagnosistrigeminal autonomic cephalalgia
spellingShingle Jong-Hee Sohn
Yun-Ju Choi
Byung-Kun Kim
Pil-Wook Chung
Mi Ji Lee
Min Kyung Chu
Jin-Young Ahn
Byung-Su Kim
Tae-Jin Song
Kyungmi Oh
Kwang-Soo Lee
Soo-Kyoung Kim
Kwang-Yeol Park
Jae Myun Chung
Heui-Soo Moon
Chin-Sang Chung
Soo-Jin Cho
Jeong-Wook Park
Clinical Features of Probable Cluster Headache: A Prospective, Cross-Sectional Multicenter Study
Frontiers in Neurology
cluster headache
autonomic symptom
probable diagnosis
definite diagnosis
trigeminal autonomic cephalalgia
title Clinical Features of Probable Cluster Headache: A Prospective, Cross-Sectional Multicenter Study
title_full Clinical Features of Probable Cluster Headache: A Prospective, Cross-Sectional Multicenter Study
title_fullStr Clinical Features of Probable Cluster Headache: A Prospective, Cross-Sectional Multicenter Study
title_full_unstemmed Clinical Features of Probable Cluster Headache: A Prospective, Cross-Sectional Multicenter Study
title_short Clinical Features of Probable Cluster Headache: A Prospective, Cross-Sectional Multicenter Study
title_sort clinical features of probable cluster headache a prospective cross sectional multicenter study
topic cluster headache
autonomic symptom
probable diagnosis
definite diagnosis
trigeminal autonomic cephalalgia
url https://www.frontiersin.org/article/10.3389/fneur.2018.00908/full
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