Clinical features of cluster headache without cranial autonomic symptoms: results from a prospective multicentre study

Abstract Although cranial autonomic symptoms (CAS) are typical in cluster headache (CH), some individuals with CH show no CAS during their headache attacks. Probable cluster headache (PCH) is a subtype of CH that fulfils all but one criterion of CH. This study aimed to investigate the frequency and...

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Autores principales:	Min Kyung Chu, Byung-Su Kim, Pil-Wook Chung, Byung-Kun Kim, Mi Ji Lee, Jeong Wook Park, Jin-Young Ahn, Dae Woong Bae, Tae-Jin Song, Jong-Hee Sohn, Kyungmi Oh, Daeyoung Kim, Jae-Moon Kim, Soo-Kyoung Kim, Yun-Ju Choi, Jae Myun Chung, Heui-Soo Moon, Chin-Sang Chung, Kwang-Yeol Park, Soo-Jin Cho
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/aba1cbc0d58840dc9f411fa79efc742b
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spelling	oai:doaj.org-article:aba1cbc0d58840dc9f411fa79efc742b2021-12-02T11:45:01ZClinical features of cluster headache without cranial autonomic symptoms: results from a prospective multicentre study10.1038/s41598-021-86408-72045-2322https://doaj.org/article/aba1cbc0d58840dc9f411fa79efc742b2021-03-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-86408-7https://doaj.org/toc/2045-2322Abstract Although cranial autonomic symptoms (CAS) are typical in cluster headache (CH), some individuals with CH show no CAS during their headache attacks. Probable cluster headache (PCH) is a subtype of CH that fulfils all but one criterion of CH. This study aimed to investigate the frequency and clinical features of CH and PCH without CAS in comparison to those with CAS. We analysed data from the Korea Cluster Headache Registry, a prospective multicentre registry involving data from 16 hospitals. Of the 216 participants with CH and 26 with PCH, 19 (8.8%) and 7 (26.9%), respectively, did not have CAS. Participants with CH without CAS exhibited less severe anxiety (General Anxiety Disorder-7 score, median [interquartile range], 2.0 [1.0–6.0] vs 8.0 [3.0–12.0], p = 0.001) and depression (Patient Health Questionnaire-9 score, 3.0 [1.0–7.0] vs 7.0 [3.0–11.0], p = 0.042) than those with CAS. Among participants with PCH, headache intensity was less severe in participants without CAS than in those with CAS (numeric rating scale, 8.0 [7.0–8.0] vs 9.5 [8.0–10.0], p = 0.015). In conclusion, a significant proportion of participants with CH and PCH did not have CAS. Some clinical features of CH and PCH differed based on the presence of CAS.Min Kyung ChuByung-Su KimPil-Wook ChungByung-Kun KimMi Ji LeeJeong Wook ParkJin-Young AhnDae Woong BaeTae-Jin SongJong-Hee SohnKyungmi OhDaeyoung KimJae-Moon KimSoo-Kyoung KimYun-Ju ChoiJae Myun ChungHeui-Soo MoonChin-Sang ChungKwang-Yeol ParkSoo-Jin ChoNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Min Kyung Chu Byung-Su Kim Pil-Wook Chung Byung-Kun Kim Mi Ji Lee Jeong Wook Park Jin-Young Ahn Dae Woong Bae Tae-Jin Song Jong-Hee Sohn Kyungmi Oh Daeyoung Kim Jae-Moon Kim Soo-Kyoung Kim Yun-Ju Choi Jae Myun Chung Heui-Soo Moon Chin-Sang Chung Kwang-Yeol Park Soo-Jin Cho Clinical features of cluster headache without cranial autonomic symptoms: results from a prospective multicentre study
description	Abstract Although cranial autonomic symptoms (CAS) are typical in cluster headache (CH), some individuals with CH show no CAS during their headache attacks. Probable cluster headache (PCH) is a subtype of CH that fulfils all but one criterion of CH. This study aimed to investigate the frequency and clinical features of CH and PCH without CAS in comparison to those with CAS. We analysed data from the Korea Cluster Headache Registry, a prospective multicentre registry involving data from 16 hospitals. Of the 216 participants with CH and 26 with PCH, 19 (8.8%) and 7 (26.9%), respectively, did not have CAS. Participants with CH without CAS exhibited less severe anxiety (General Anxiety Disorder-7 score, median [interquartile range], 2.0 [1.0–6.0] vs 8.0 [3.0–12.0], p = 0.001) and depression (Patient Health Questionnaire-9 score, 3.0 [1.0–7.0] vs 7.0 [3.0–11.0], p = 0.042) than those with CAS. Among participants with PCH, headache intensity was less severe in participants without CAS than in those with CAS (numeric rating scale, 8.0 [7.0–8.0] vs 9.5 [8.0–10.0], p = 0.015). In conclusion, a significant proportion of participants with CH and PCH did not have CAS. Some clinical features of CH and PCH differed based on the presence of CAS.
format	article
author	Min Kyung Chu Byung-Su Kim Pil-Wook Chung Byung-Kun Kim Mi Ji Lee Jeong Wook Park Jin-Young Ahn Dae Woong Bae Tae-Jin Song Jong-Hee Sohn Kyungmi Oh Daeyoung Kim Jae-Moon Kim Soo-Kyoung Kim Yun-Ju Choi Jae Myun Chung Heui-Soo Moon Chin-Sang Chung Kwang-Yeol Park Soo-Jin Cho
author_facet	Min Kyung Chu Byung-Su Kim Pil-Wook Chung Byung-Kun Kim Mi Ji Lee Jeong Wook Park Jin-Young Ahn Dae Woong Bae Tae-Jin Song Jong-Hee Sohn Kyungmi Oh Daeyoung Kim Jae-Moon Kim Soo-Kyoung Kim Yun-Ju Choi Jae Myun Chung Heui-Soo Moon Chin-Sang Chung Kwang-Yeol Park Soo-Jin Cho
author_sort	Min Kyung Chu
title	Clinical features of cluster headache without cranial autonomic symptoms: results from a prospective multicentre study
title_short	Clinical features of cluster headache without cranial autonomic symptoms: results from a prospective multicentre study
title_full	Clinical features of cluster headache without cranial autonomic symptoms: results from a prospective multicentre study
title_fullStr	Clinical features of cluster headache without cranial autonomic symptoms: results from a prospective multicentre study
title_full_unstemmed	Clinical features of cluster headache without cranial autonomic symptoms: results from a prospective multicentre study
title_sort	clinical features of cluster headache without cranial autonomic symptoms: results from a prospective multicentre study
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/aba1cbc0d58840dc9f411fa79efc742b
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Clinical features of cluster headache without cranial autonomic symptoms: results from a prospective multicentre study

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