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Cited 2 time in webofscience Cited 3 time in scopus
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Clinical features of cluster headache without cranial autonomic symptoms: results from a prospective multicentre studyopen access

Authors
Chu, Min KyungKim, Byung-SuChung, Pil-WookKim, Byung-KunLee, Mi JiPark, Jeong WookAhn, Jin-YoungBae, Dae WoongSong, Tae-JinSohn, Jong-HeeOh, KyungmiKim, DaeyoungKim, Jae-MoonKim, Soo-KyoungChoi, Yun-JuChung, Jae MyunMoon, Heui-SooChung, Chin-SangPark, Kwang-YeolCho, Soo-Jin
Issue Date
25-Mar-2021
Publisher
NATURE RESEARCH
Citation
SCIENTIFIC REPORTS, v.11, no.1
Indexed
SCIE
SCOPUS
Journal Title
SCIENTIFIC REPORTS
Volume
11
Number
1
URI
https://scholarworks.gnu.ac.kr/handle/sw.gnu/3950
DOI
10.1038/s41598-021-86408-7
ISSN
2045-2322
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.
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