Age at Onset and Sex Ratio in Cluster Headache: Observations Over Three Decades

Ekbom, Karl; Svensson, DA; Träff, Helen; Waldenlind, Elisabet

doi:10.1046/j.1468-2982.2002.00318.x

Cited by 140 publications

(134 citation statements)

References 25 publications

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“…It should be noted that, as mentioned above, episodic cluster headache can start over 65 years of age, as it was observed in 2 of 5 cases in our study, in 6 of 14 cases in the paper by Solomon et al [23] and in 3 of 6 cases in the study by Pascual and Berciano [34]. These findings appear to be in contrast with the literature, since it has been reported that the mean age at onset for cluster headache is 30 years and that its beginning in advanced age should be considered extremely rare [39]. Only one female patient had chronic cluster headache; in another study a female preponderance in the elderly had been described [39].…”

Section: Discussioncontrasting

confidence: 72%

“…These findings appear to be in contrast with the literature, since it has been reported that the mean age at onset for cluster headache is 30 years and that its beginning in advanced age should be considered extremely rare [39]. Only one female patient had chronic cluster headache; in another study a female preponderance in the elderly had been described [39].…”

Section: Discussioncontrasting

confidence: 71%

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Headache in the elderly: a clinical study

et al. 2004

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IntroductionHeadache prevalence is age-dependent, declining progressively, especially after 55-60 years of age. This has been confirmed by almost all epidemiologic studies [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17]. Despite this trend, after the age of 65 years, more than 13% of women and 7% of men continue to complain of headache [18]. Chronic tension-type headache, instead, does not seem to decrease with increasing age [18,19]. The etiology of headache is also age-dependent. The incidence of primary headaches declines, while that of secondary headaches tends to become higher with increasing age [20][21][22][23]. Some headaches, such as that secondary to giant cell arteritis, appear in almost all cases after age of 60 years [23]. Among primary headaches, hypnic headache presents an onset prevalently in the elderly [24][25][26]. Elderly patients more often have comorbidity with other disorders [27][28][29][30]. Although the prevalence of headache in the elderly is relevant, few clinical and epidemiologic studies have been conducted until now in patients aged over 65 years. In some studies of the general adult population, only subjects up to 65 years of age have been studied [9,10,31]. We report the prevalence of headache in a population of subjects over 65 years of age seen at our centre. Materials and methodsWe retrospectively analyzed the clinical charts of 4417 consecutive patients ≥18 years of age referred to our Headache Centre Abstract Although the prevalence of headache in the elderly is relevant, until now few studies have been conducted in patients over the age of 65 years. We analyzed the clinical charts of 4,417 consecutive patients referred to our Headache Centre from 1995 to 2002. There were 282 patients over 65 years of age at the first visit, corresponding to 6.4% of the study population. Primary headaches were diagnosed in 81.6% of the cases, while secondary headaches and non-classifiable headaches represented, respectively, 14.9% and 3.5% of the cases. Among primary headaches, the prevalence was almost the same for migraine without aura (27.8%), transformed migraine (26.1%) and chronic tension-type headache (25.7%). The most frequent secondary headaches were trigeminal neuralgia and headache associated with cervical spine disorder.

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Section: Discussioncontrasting

confidence: 72%

Section: Discussioncontrasting

confidence: 71%

Headache in the elderly: a clinical study

et al. 2004

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“…Typical aura was found in 7.0% of participants, which lies within the range of other studies, in which aura prevalence varied from 0 to 23% 2, 13, 18, 19, 20, 21, 22…”

Section: Discussionsupporting

confidence: 86%

Aura in Cluster Headache: A Cross‐Sectional Study

Coo

Wilbrink

et al. 2018

Headache

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BackgroundAura symptoms have been reported in up to 23% of cluster headache patients, but it is not known whether clinical characteristics are different in participants with and without aura.MethodsUsing validated web‐based questionnaires we assessed the presence and characteristics of attack‐related aura and other clinical features in 629 subjects available for analysis from an initial cohort of 756 cluster headache subjects. Participants who screened positive for aura were contacted by telephone for confirmation of the ICHD‐III criteria for aura.ResultsTypical aura symptoms before or during cluster headache attacks were found in 44/629 participants (7.0%) mainly involving visual symptoms (61.4%). Except for lower alcohol consumption and higher prevalence of frontal pain in participants with aura, no differences in clinical characteristics were found compared with participants without aura.ConclusionAt least 7.0% of the participants with cluster headache in our large cohort reported typical aura symptoms, which most often involved visual symptoms. No major clinical differences were found between participants with and without aura.

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“…A lifetime prevalence between 0.07% and 0.14% emerged in population-based studies [6][7][8][9][10] with a clear male preponderance which seems to decrease in the last decades [8,9]. This was attributed to changes in lifestyle factors over the years (such as employment rate and smoking habits), but this finding was not recently confirmed [22].…”

Section: Discussionmentioning

confidence: 99%

“…A recent study including 554 patients with episodic and chronic cluster headache examined between 1963 and 1997 showed 125 cases with an age at onset of CH from 10 to 19 years, with a clear prevalence in males (male-to-female ratio, 3.6:1) [22]. Furthermore, Garrido et al [23] reported a 5-year-old child with cluster headache starting at age 3 years.…”

Section: Discussionmentioning

confidence: 99%

Cluster headache in childhood and adolescence: one-year prevalence in an out-patient population

Gallai¹,

Mazzotta²,

Floridi³

et al. 2003

J Headache Pain

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A multicenter one-year study was carried out on 6629 headache patients under 18 years of age, attending 27 centers and clinics devoted to headache in Italy to identify the prevalence of cluster headache (CH) in childhood and adolescence. Two male CH patients aged 9 and 17 years were identified. Their attacks fulfilled the IHS criteria for CH, and they were classified as having cluster headache with undetermined periodicity and episodic cluster headache, respectively. The one-year prevalence in this headache out-patient population under 18 years of age was calculated to be 0.03%. This value is smaller than that derived in the general population. This finding further confirms the rarity of early diagnosis of this primary disorder in childhood and adolescence, as demonstrated in other studies.

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Age at Onset and Sex Ratio in Cluster Headache: Observations Over Three Decades

Cited by 140 publications

References 25 publications

Headache in the elderly: a clinical study

Headache in the elderly: a clinical study

Aura in Cluster Headache: A Cross‐Sectional Study

Cluster headache in childhood and adolescence: one-year prevalence in an out-patient population

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