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Cluster headache: a single tertiary center study
The characteristics of cluster headache (CH) patients in many countries and the diagnostic and therapeutic approach have been described in several publications, but so far no clinical data have been published from Turkey. This is a cross-sectional retrospective study that includes all patients who w...
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| Published in: | Neurological research (New York) 2022-04, Vol.44 (4), p.342-352 |
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| Main Authors: | , , |
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| container_end_page | 352 |
| container_issue | 4 |
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| container_title | Neurological research (New York) |
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| creator | Tuncer Issı, Zeynep Akbulut, Nurcan Öztürk, Vesile |
| description | The characteristics of cluster headache (CH) patients in many countries and the diagnostic and therapeutic approach have been described in several publications, but so far no clinical data have been published from Turkey.
This is a cross-sectional retrospective study that includes all patients who were diagnosed with CH and referred to our headache clinic, Dokuz Eylül University Faculty of Medicine, Neurology Department from 1991 to January 2018.
We included 114 patients (24 females and 90 males) in our study. The mean age at onset was 31.68 ± 12.72 (range 13-68). Eighty-six (78.18%) patients had episodic cluster headache (ECH) and 24 (21.82%) patients had chronic cluster headache (CCH). The age at onset was significantly higher in the patients with CCH than with ECH (p = 0.002). The most common location was orbitotemporal for both genders. The most common accompanying symptoms were lacrimation (80.73%). The male:female ratio in all patients was 3:7, 3.8:1 in those with CCH and 4:1 in those with ECH. Eighty-nine (87.25%) patients had prophylactic treatment and 60 of them received verapamil.
In our study, some clinical features of our patients were similar to those of Europe and America or the Asian countries and some of them not. There are regional differences in cluster headache patients. With more awareness of cluster headache and research from many countries, clinical differences can be revealed more objectively in the future. |
| doi_str_mv | 10.1080/01616412.2021.1992101 |
| format | article |
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This is a cross-sectional retrospective study that includes all patients who were diagnosed with CH and referred to our headache clinic, Dokuz Eylül University Faculty of Medicine, Neurology Department from 1991 to January 2018.
We included 114 patients (24 females and 90 males) in our study. The mean age at onset was 31.68 ± 12.72 (range 13-68). Eighty-six (78.18%) patients had episodic cluster headache (ECH) and 24 (21.82%) patients had chronic cluster headache (CCH). The age at onset was significantly higher in the patients with CCH than with ECH (p = 0.002). The most common location was orbitotemporal for both genders. The most common accompanying symptoms were lacrimation (80.73%). The male:female ratio in all patients was 3:7, 3.8:1 in those with CCH and 4:1 in those with ECH. Eighty-nine (87.25%) patients had prophylactic treatment and 60 of them received verapamil.
In our study, some clinical features of our patients were similar to those of Europe and America or the Asian countries and some of them not. There are regional differences in cluster headache patients. With more awareness of cluster headache and research from many countries, clinical differences can be revealed more objectively in the future.</description><identifier>ISSN: 0161-6412</identifier><identifier>EISSN: 1743-1328</identifier><identifier>DOI: 10.1080/01616412.2021.1992101</identifier><identifier>PMID: 34781845</identifier><language>eng</language><publisher>England: Taylor & Francis</publisher><subject>Adolescent ; Adult ; Aged ; Autonomic Nervous System - physiopathology ; autonomic symptoms ; Chronic Disease ; clinic ; cluster headache ; Cluster Headache - epidemiology ; Cluster Headache - physiopathology ; Cross-Sectional Studies ; diagnosis ; Female ; Headache ; Humans ; Male ; Middle Aged ; Retrospective Studies ; Tertiary Care Centers ; trigeminal autonomic cephalgia ; Turkey - epidemiology ; Young Adult</subject><ispartof>Neurological research (New York), 2022-04, Vol.44 (4), p.342-352</ispartof><rights>2021 Informa UK Limited, trading as Taylor & Francis Group 2021</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c333t-704acc94c4f332846d2ffbd1300ac479fa36477e9cdf2aa9b92a02e8e3f829823</citedby><cites>FETCH-LOGICAL-c333t-704acc94c4f332846d2ffbd1300ac479fa36477e9cdf2aa9b92a02e8e3f829823</cites><orcidid>0000-0002-6609-0016 ; 0000-0002-9784-6779 ; 0000-0002-3109-3073</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790,27957,27958</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34781845$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tuncer Issı, Zeynep</creatorcontrib><creatorcontrib>Akbulut, Nurcan</creatorcontrib><creatorcontrib>Öztürk, Vesile</creatorcontrib><title>Cluster headache: a single tertiary center study</title><title>Neurological research (New York)</title><addtitle>Neurol Res</addtitle><description>The characteristics of cluster headache (CH) patients in many countries and the diagnostic and therapeutic approach have been described in several publications, but so far no clinical data have been published from Turkey.
This is a cross-sectional retrospective study that includes all patients who were diagnosed with CH and referred to our headache clinic, Dokuz Eylül University Faculty of Medicine, Neurology Department from 1991 to January 2018.
We included 114 patients (24 females and 90 males) in our study. The mean age at onset was 31.68 ± 12.72 (range 13-68). Eighty-six (78.18%) patients had episodic cluster headache (ECH) and 24 (21.82%) patients had chronic cluster headache (CCH). The age at onset was significantly higher in the patients with CCH than with ECH (p = 0.002). The most common location was orbitotemporal for both genders. The most common accompanying symptoms were lacrimation (80.73%). The male:female ratio in all patients was 3:7, 3.8:1 in those with CCH and 4:1 in those with ECH. Eighty-nine (87.25%) patients had prophylactic treatment and 60 of them received verapamil.
In our study, some clinical features of our patients were similar to those of Europe and America or the Asian countries and some of them not. There are regional differences in cluster headache patients. With more awareness of cluster headache and research from many countries, clinical differences can be revealed more objectively in the future.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Autonomic Nervous System - physiopathology</subject><subject>autonomic symptoms</subject><subject>Chronic Disease</subject><subject>clinic</subject><subject>cluster headache</subject><subject>Cluster Headache - epidemiology</subject><subject>Cluster Headache - physiopathology</subject><subject>Cross-Sectional Studies</subject><subject>diagnosis</subject><subject>Female</subject><subject>Headache</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Retrospective Studies</subject><subject>Tertiary Care Centers</subject><subject>trigeminal autonomic cephalgia</subject><subject>Turkey - epidemiology</subject><subject>Young Adult</subject><issn>0161-6412</issn><issn>1743-1328</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9kNtKw0AQhhdRbK0-gpIXSJ3Z3Sa7XimlHqDgjV4v0z3YSJqU3RTp25vQ1kuvBobvn8PH2C3CFEHBPWCBhUQ-5cBxilpzBDxjYyylyFFwdc7GA5MP0IhdpfQNgJorfclGQpYKlZyNGczrXep8zNaeHNm1f8goS1XzVfusb3cVxX1mfTMgqdu5_TW7CFQnf3OsE_b5vPiYv-bL95e3-dMyt0KILi9BkrVaWhlEf4wsHA9h5VAAkJWlDiQKWZZeWxc4kV5pTsC98iIorhUXEzY7zLWxTSn6YLax2vTXGAQzGDAnA2YwYI4G-tzdIbfdrTbe_aVOL_fA4wGomtDGDf20sXamo33dxhCpsVUy4v8dvw15aY8</recordid><startdate>20220403</startdate><enddate>20220403</enddate><creator>Tuncer Issı, Zeynep</creator><creator>Akbulut, Nurcan</creator><creator>Öztürk, Vesile</creator><general>Taylor & Francis</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><orcidid>https://orcid.org/0000-0002-6609-0016</orcidid><orcidid>https://orcid.org/0000-0002-9784-6779</orcidid><orcidid>https://orcid.org/0000-0002-3109-3073</orcidid></search><sort><creationdate>20220403</creationdate><title>Cluster headache: a single tertiary center study</title><author>Tuncer Issı, Zeynep ; Akbulut, Nurcan ; Öztürk, Vesile</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c333t-704acc94c4f332846d2ffbd1300ac479fa36477e9cdf2aa9b92a02e8e3f829823</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Autonomic Nervous System - physiopathology</topic><topic>autonomic symptoms</topic><topic>Chronic Disease</topic><topic>clinic</topic><topic>cluster headache</topic><topic>Cluster Headache - epidemiology</topic><topic>Cluster Headache - physiopathology</topic><topic>Cross-Sectional Studies</topic><topic>diagnosis</topic><topic>Female</topic><topic>Headache</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Retrospective Studies</topic><topic>Tertiary Care Centers</topic><topic>trigeminal autonomic cephalgia</topic><topic>Turkey - epidemiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tuncer Issı, Zeynep</creatorcontrib><creatorcontrib>Akbulut, Nurcan</creatorcontrib><creatorcontrib>Öztürk, Vesile</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Neurological research (New York)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tuncer Issı, Zeynep</au><au>Akbulut, Nurcan</au><au>Öztürk, Vesile</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cluster headache: a single tertiary center study</atitle><jtitle>Neurological research (New York)</jtitle><addtitle>Neurol Res</addtitle><date>2022-04-03</date><risdate>2022</risdate><volume>44</volume><issue>4</issue><spage>342</spage><epage>352</epage><pages>342-352</pages><issn>0161-6412</issn><eissn>1743-1328</eissn><abstract>The characteristics of cluster headache (CH) patients in many countries and the diagnostic and therapeutic approach have been described in several publications, but so far no clinical data have been published from Turkey.
This is a cross-sectional retrospective study that includes all patients who were diagnosed with CH and referred to our headache clinic, Dokuz Eylül University Faculty of Medicine, Neurology Department from 1991 to January 2018.
We included 114 patients (24 females and 90 males) in our study. The mean age at onset was 31.68 ± 12.72 (range 13-68). Eighty-six (78.18%) patients had episodic cluster headache (ECH) and 24 (21.82%) patients had chronic cluster headache (CCH). The age at onset was significantly higher in the patients with CCH than with ECH (p = 0.002). The most common location was orbitotemporal for both genders. The most common accompanying symptoms were lacrimation (80.73%). The male:female ratio in all patients was 3:7, 3.8:1 in those with CCH and 4:1 in those with ECH. Eighty-nine (87.25%) patients had prophylactic treatment and 60 of them received verapamil.
In our study, some clinical features of our patients were similar to those of Europe and America or the Asian countries and some of them not. There are regional differences in cluster headache patients. With more awareness of cluster headache and research from many countries, clinical differences can be revealed more objectively in the future.</abstract><cop>England</cop><pub>Taylor & Francis</pub><pmid>34781845</pmid><doi>10.1080/01616412.2021.1992101</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-6609-0016</orcidid><orcidid>https://orcid.org/0000-0002-9784-6779</orcidid><orcidid>https://orcid.org/0000-0002-3109-3073</orcidid></addata></record> |
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| source | Taylor and Francis:Jisc Collections:Taylor and Francis Read and Publish Agreement 2024-2025:Medical Collection (Reading list) |
| subjects | Adolescent Adult Aged Autonomic Nervous System - physiopathology autonomic symptoms Chronic Disease clinic cluster headache Cluster Headache - epidemiology Cluster Headache - physiopathology Cross-Sectional Studies diagnosis Female Headache Humans Male Middle Aged Retrospective Studies Tertiary Care Centers trigeminal autonomic cephalgia Turkey - epidemiology Young Adult |
| title | Cluster headache: a single tertiary center study |
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