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

  • 주제(키워드) cluster headache , autonomic symptom , probable diagnosis , definite diagnosis , trigeminal autonomic cephalalgia
  • 주제(기타) Clinical Neurology; Neurosciences
  • 설명문(일반) [Sohn, Jong-Hee] Chuncheon Sacred Heart Hosp, Dept Neurol, Chunchon, South Korea; [Choi, Yun-Ju] Presbyterian Med Ctr, Dept Neurol, Jeonju, South Korea; [Kim, Byung-Kun] Eulji Hosp, Dept Neurol, Seoul, South Korea; [Chung, Pil-Wook; Moon, Heui-Soo] Sungkyunkwan Univ, Kangbuk Samsung Hosp, Sch Med, Dept Neurol, Seoul, South Korea; [Lee, Mi Ji; Chung, Chin-Sang] Samsung Med Ctr, Dept Neurol, Seoul, South Korea; [Chu, Min Kyung] Severance Hosp, Dept Neurol, Seoul, South Korea; [Ahn, Din-Young] Seoul Med Ctr, Dept Neurol, Seoul, South Korea; [Kim, Byung-Su] Bundang Jesaeng Gen Hosp, Daejin Med Ctr, Dept Neurol, Seongnam, South Korea; [Song, Tae-Jin] Ewha Womans Univ, Sch Med, Dept Neurol, Seoul, South Korea; [Oh, Kyungmi] Korea Univ, Coll Med, Dept Neurol, Seoul, South Korea; [Lee, Kwang-Soo] Catholic Univ Korea, Seoul St Marys Hosp, Coll Med, Dept Neurol, Seoul, South Korea; [Kim, Soo-Kyoung] Gyeongsang Natl Univ, Coll Med, Dept Neurol, Jinju, South Korea; [Park, Kwang-Yeol] Chung Ang Univ Hosp, Dept Neurol, Seoul, South Korea; [Chung, Jae Myun] Inje Univ, Coll Med, Dept Neurol, Seoul, South Korea; [Cho, Soo-Jin] Dongtan Sacred Heart Hosp, Dept Neurol, Hwaseong, South Korea; [Park, Jeong-Wook] Uijeongbu St Marys Hosp, Dept Neurol, Uijongbu, South Korea
  • 등재 SCIE, SCOPUS
  • 발행기관 FRONTIERS MEDIA SA
  • 발행년도 2018
  • URI http://www.dcollection.net/handler/ewha/000000156881
  • 본문언어 영어
  • Published As http://dx.doi.org/10.3389/fneur.2018.00908

초록/요약

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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