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Original Paper

Errors in Recognition and Management are Still Frequent in Patients with Cluster Headache

Sánchez del Rio M.a · Leira R.b · Pozo-Rosich P.c · Laínez J.M.d · Alvarez R.e · Pascual J.e

Author affiliations

Services of Neurology, aRuber International Hospital, Madrid, bUniversity Hospital Santiago de Compostela, Santiago de Compostela, cUniversity Hospital Vall d'Hebron, Headache Research Lab, VHIR, Universitat Autonoma Barcelona, Barcelona, dHospital Clínico Universitario, Valencia, and eUniversity Hospital Central de Asturias and Ineuropa, Oviedo, Spain

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Eur Neurol 2014;72:209-212

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: January 31, 2014
Accepted: March 28, 2014
Published online: September 13, 2014
Issue release date: October 2014

Number of Print Pages: 4
Number of Figures: 1
Number of Tables: 0

ISSN: 0014-3022 (Print)
eISSN: 1421-9913 (Online)

For additional information: https://www.karger.com/ENE

Abstract

Objectives: To analyze the trajectory to diagnosis and information provided in a series of cluster headache (CH) patients from five headache clinics. Methods: CH patients were asked to fill in an ad hoc questionnaire. Results: Seventy-five patients (mean age 41.5 years, 67 males) completed the questionnaire. Patients had visited during an average of 4.9 years a mean of 4.6 physicians who had obtained 2.5 neuroimaging procedures per patient before getting a diagnosis of CH. Sixty-three (84%) had received no diagnosis (21 cases; 28%), while 43 (57%) had been given an average of 2.1 alternative diagnoses. Migraine, trigeminal neuralgia and sinusitis were the most frequent mistakes. After diagnosis, 55% had subjectively received poor/very poor information on CH. Ninety-five percent had poor or incorrect information about the nature of the disease, or acute (70%) and preventive (61%) treatments. Etiology (90%), management options (36%) and potential adverse events of medications (29%) were their main information demands. Conclusions: Although CH is an invalidating and clinically clear-cut disorder suffered by around 1/1,000 people, it is still frequently unrecognized and/or mistaken for other disorders, which calls for a better knowledge and education in the diagnosis of the main primary headaches.

© 2014 S. Karger AG, Basel


References

  1. Fischera M, Marziniak M, Gralow I, Evers S: The incidence and prevalence of cluster headache: a meta-analysis of population-based studies. Cephalalgia 2008;28:614-618.
  2. Headache Classification Subcommittee of the International Headache Society: The International Classification of Headache Disorders. Cephalalgia 2004;24(suppl 1):1-160.
  3. Klapper JA, Klapper A, Voss T: The misdiagnosis of cluster headache: a nonclinic, population-based Internet survey. Headache 2000;40:730-735.
  4. Van Vliet JA, Eekers PJE, Haan J, Ferrari MD; for the Dutch RUSSH study group: Features involved in the diagnostic delay of cluster headache. J Neurol Neurosurg Psychiatry 2003;74:1123-1125.
  5. Sjaastad O, Bakketeig LS: Cluster headache prevalence. Vaga study of headache epidemiology. Cephalalgia 2003;23:528-533.
  6. Bahra A, Goadsby PJ: Diagnostic delays and mis-management in cluster headache. Acta Neurol Scand 2004;109:175-179.
  7. Jensen RM, Lyngberg A, Jensen RH: Burden of cluster headache. Cephalalgia 2007;27:535-541.
  8. Van Alboom E, Louis P, Van Zandijcke M, et al: Diagnostic and therapeutic trajectory of cluster headache patients in Flanders. Acta Neurol Belg 2009;109:10-17.
    External Resources
  9. Rozen TD, Fishman RS: Cluster headache in the United States of America: demographics, clinical characteristics, triggers, suicidality, and personal burden. Headache 2012;52:99-113.
  10. Viana M, Tassorelli C, Allena M, et al: Diagnostic and therapeutic errors in trigeminal autonomic cephalalgias and hemicrania continua: a systematic review. J Headache Pain 2013;14:14-66.
  11. May A, Leone M, Afra J, et al: EFNS guidelines on the treatment of cluster headache and other trigeminal-autonomic cephalalgias. Eur J Neurol 2006;13:1066-1077.
  12. Riess CM, Becker WJ, Robertson M: Episodic cluster headache in a community: clinical features and treatment. Can J Neurol Sci 1998;25:141-145.
    External Resources
  13. Schurks M, Kurth T, de Jesus J, et al: Cluster headache: clinical presentation, lifestyles features, and medical treatment. Headache 2006;46:1246-1254.
  14. Rozen TD: Cluster headache with aura. Curr Pain Headache Rep 2011;15:98-100.
  15. Barbanti P, Fabbrini G, Pesare M, Vanacore N, Cerbo R: Unilateral cranial autonomic symptoms in migraine. Cephalalgia 2002;22:256-259.
  16. Avnon Y, Nitzan M, Sprecher E, Rogowski Z, Yamitsky D: Different patterns of parasympathetic activation in uni- and bilateral migraineurs. Brain 2002;126:1660-1670.
  17. Avnon Y, Nitzan M, Sprecher E, Rogowski Z, Yamitsky D: Autonomic asymmetry in migraine: augmented parasympathetic activation in left unilateral migraineurs. Brain 2004;127:2099-2108.
  18. Gupta R, Bhatia MS: A report of cranial autonomic symptoms in migraineurs. Cephalalgia 2007;27:22-28.
  19. Obermann M, Yoon MS, Dommes P, et al: Prevalence of trigeminal autonomic symptoms in migraine: a population-based study. Cephalalgia 2007;27:504-509.
  20. Lai TH, Fuh JL, Wang SJ: Cranial autonomic symptoms in migraine: characteristics and comparison with cluster headache. J Neurol Neurosurg Psychiatry 2009;80:1116-1119.
  21. Gelfand AA, Reider AC, Goadsby PJ: Cranial autonomic symptoms in pediatric migraine are the rule, not the exception. Neurology 2013;81:431-436.
  22. Guven H, Cilliler AE, Comoglu SS: Unilateral cranial autonomic symptoms in patients with migraine. Acta Neurol Belg 2013;113:237-242.
  23. Bahra A, May A, Goadsby PJ: Cluster headache: a prospective clinical study with diagnostic implications. Neurology 2002;58:354-361.
  24. Ramón C, Mauri G, Vega J, et al: Diagnostic distribution of 100 unilateral, side-locked headaches consulting a specialized clinic. Eur Neurol 2013;69:289-291.
  25. Latinovi R, Gulliford M, Ridsdale L: Headache and migraine in primary care: consultation, prescription, and referral rates in a large population. J Neurol Neurosurg Psychiatry 2006;77:385-387.
  26. Eross E, Dodick D, Eross M: The sinus, allergy and migraine study (SAMS). Headache 2007;47:213-224.
  27. Pryse-Phyllips WEM, Dodick DW, Edmeads JG, et al: Guidelines for the nonpharmacologic management of migraine in clinical practice. CMAJ 1998;159:47-54.
    External Resources
  28. Buse DC, Rupnow MF, Lipton RB: Assessing and managing all aspects of migraine: migraine attacks, migraine-related functional impairment, common comorbidities, and quality of life. Mayo Clin Proc 2009;84:422-435.
  29. Lipton RB, Hahn SR, Cady RK, et al: In-office discussion of migraine: results the American Migraine Communication Study. J Gen Intern Med 2008;23:1145-1151.

Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: January 31, 2014
Accepted: March 28, 2014
Published online: September 13, 2014
Issue release date: October 2014

Number of Print Pages: 4
Number of Figures: 1
Number of Tables: 0

ISSN: 0014-3022 (Print)
eISSN: 1421-9913 (Online)

For additional information: https://www.karger.com/ENE


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