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

 Tae-Jin Song  ;  Mi Ji Lee  ;  Yun-Ju Choi  ;  Byung-Kun Kim  ;  Pil-Wook Chung  ;  Jung-Wook Park  ;  Min Kyung Chu  ;  Byung-Su Kim  ;  Jong-Hee Sohn  ;  Kyungmi Oh  ;  Daeyoung Kim  ;  Jae-Moon Kim  ;  Soo-Kyoung Kim  ;  Kwang-Yeol Park  ;  Jae Myun Chung  ;  Heui-Soo Moon  ;  Chin-Sang Chung  ;  Jin-Young Ahn  ;  Soo-Jin Cho 
 JOURNAL OF CLINICAL NEUROLOGY, Vol.15(3) : 334-338, 2019 
Journal Title
Issue Date
chronic cluster headache ; cluster headache ; comorbidity ; migraine ; treatment
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.
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1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실) > 1. Journal Papers
Yonsei Authors
Chu, Min Kyung(주민경) ORCID logo https://orcid.org/0000-0001-6221-1346
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