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

 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 
 SCIENTIFIC REPORTS, Vol.11(1) : 6916, 2021-03 
Journal Title
Issue Date
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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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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