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Differences in Characteristics and Comorbidity of Cluster Headache According to the Presence of Migraine

Title
Differences in Characteristics and Comorbidity of Cluster Headache According to the Presence of Migraine
Authors
Song, Tae-JinLee, Mi JiChoi, Yun-JuKim, Byung-KunChung, Pil-WookPark, Jung-WookChu, Min KyungKim, Byung-SuSohn, Jong-HeeOh, KyungmiKim, DaeyoungKim, Jae-MoonKim, Soo-KyoungPark, Kwang-YeolChung, Jae MyunMoon, Heui-SooChung, Chin-SangAhn, Jin-YoungCho, Soo-Jin
Ewha Authors
송태진
SCOPUS Author ID
송태진scopus
Issue Date
2019
Journal Title
JOURNAL OF CLINICAL NEUROLOGY
ISSN
1738-6586JCR Link

2005-5013JCR Link
Citation
JOURNAL OF CLINICAL NEUROLOGY vol. 15, no. 3, pp. 334 - 338
Keywords
chronic cluster headachecluster headachecomorbiditymigrainetreatment
Publisher
KOREAN NEUROLOGICAL ASSOC
Indexed
SCIE; SCOPUS; KCI WOS
Document Type
Article
Abstract
Background and Purpose Cluster headache (CH) can present with migrainous symptoms such as nausea, photophobia, and phonophobia. In addition, an overlap between CH and migraine has been reported. This study aimed to determine the differences in the characteristics of CH according to the presence of comorbid migraine. Methods This study was performed using data from a prospective multicenter registry study of CH involving 16 headache clinics. CH and migraine were diagnosed by headache specialists at each hospital based on third edition of the International Classification of Headache Disorders (ICHD-3). We interviewed patients with comorbid migraine to obtain detailed information about migraine. The characteristics and psychological comorbidities of CH were compared between patients with and without comorbid migraine. Results Thirty (15.6%) of 192 patients with CH had comorbid migraine, comprising 18 with migraine without aura, 1 with migraine with aura, 3 with chronic migraine, and 8 with probable migraine. Compared to patients with CH without migraine, patients with CH with comorbid migraine had a shorter duration of CH after the first episode [5.4+/-7.4 vs. 9.0+/-8.2 years (mean standard deviation), p=0.008], a lower frequency of episodic CH (50.0% vs. 73.5%, p= 0.010), and a higher frequency of chronic CH (13.3% vs. 3.7%, p=0.033). Psychiatric comorbidities did not differ between patients with and without comorbid migraine. The headaches experienced by patients could be distinguished based on their trigeminal autonomic symptoms, pulsating character, severity, and pain location. Conclusions Distinct characteristics of CH remained unchanged in patients with comorbid migraine with the exception of an increased frequency of chronic CH. The most appropriate management of CH requires clinicians to check the history of preceding migraine, particularly in cases of chronic CH.
DOI
10.3988/jcn.2019.15.3.334
Appears in Collections:
의과대학 > 의학과 > Journal papers
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