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Clinical features of chronic cluster headache based on the third edition of the International Classification of Headache Disorders: A prospective multicentre study
- Source :
- PLoS ONE, PLoS ONE, Vol 14, Iss 8, p e0221155 (2019)
- Publication Year :
- 2019
- Publisher :
- Public Library of Science, 2019.
-
Abstract
- The criterion for the remission period of chronic cluster headache (CCH) was recently revised from < 1 month to < 3 months in the third edition of the International Classification of Headache Disorders (ICHD-3). However, information on the clinical features of CCH based on the ICHD-3 criteria is currently limited. The present study aimed to investigate the clinical features of CCH based on ICHD-3 using data from the Korean Cluster Headache Registry (KCHR). The KCHR is a multicentre prospective registry of patients with cluster headache (CH) from 15 hospitals. Among the 250 participants with CH, 12 and 176 participants were classified as having CCH and episodic cluster headache (ECH), respectively. Among 12 participants with CCH, 6 (50%) had remission periods of < 1 month, and the remaining 6 (50%) had a remission period of 1-3 months. Six participants had CCH from the time of onset of CH, and in the other 6 participants, CCH evolved from ECH. CCH subjects had later age of onset of CH, developed the condition after a longer interval after CH onset, and had more migraine and less nasal congestion and/or rhinorrhoea than ECH subjects. Clinical features of CCH with remission periods < 1 month were not significantly different from those of CCH with remission periods of 1-3 months, except for the total number of bouts. More current smoking and less diurnal rhythmicity were observed in participants with CCH evolved from ECH compared to those with ECH. In conclusion, the number of subjects with CCH doubled when the revised ICHD-3 criteria were used. Most of clinical characteristics of CCH did not differ when the previous and current version of ICHD was applied and compared. Some clinical features of CCH were different from those of ECH, and smoking may have a role in CH chronification.
- Subjects :
- Male
Pediatrics
Social Sciences
Cluster Headache
Pathology and Laboratory Medicine
Habits
0302 clinical medicine
Medicine and Health Sciences
Smoking Habits
Psychology
030212 general & internal medicine
Multidisciplinary
Headache epidemiology
Headaches
Headache
Middle Aged
Medicine
Female
medicine.symptom
Anatomy
Research Article
Adult
medicine.medical_specialty
endocrine system
Science
Migraine Disorders
Psychological Stress
Nasal congestion
03 medical and health sciences
Signs and Symptoms
Episodic cluster headache
Diagnostic Medicine
Mental Health and Psychiatry
medicine
Humans
Forehead
Migraine
Behavior
business.industry
Cluster headache
Biology and Life Sciences
medicine.disease
Secondary Headaches
Face
International Classification of Headache Disorders
Age of onset
business
Head
030217 neurology & neurosurgery
Subjects
Details
- Language :
- English
- ISSN :
- 19326203
- Volume :
- 14
- Issue :
- 8
- Database :
- OpenAIRE
- Journal :
- PLoS ONE
- Accession number :
- edsair.doi.dedup.....8d95d2f44bde1ca54ba50ad120ff69e2