Cluster Headache with Aura

Rozen, Todd D.

doi:10.1007/s11916-010-0168-9

Cited by 23 publications

(21 citation statements)

References 17 publications

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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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“…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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“…Aura phenomena, similar to those experienced during migraine including visual and sensory phenomena, have been found to precede attacks in 5.9% to 21% of Western CH patients (Table 7) [5,6,13,23-25], which is the same prevalence of aura in migraine sufferers. This symptom appears to occur in both male and female patients with CH and in both chronic and episodic CH.…”

Section: Discussionmentioning

confidence: 75%

Clinical profile of cluster headaches in China – a clinic-based study

Dong

Dai

et al. 2013

J Headache Pain

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BackgroundThe clinical profile of cluster headache in Chinese patients have not been fully studied.MethodsThe classification and clinical features of 120 consecutive patients with cluster headache (105 males, 15 females; mean age, 34.9 ± 10.5 years) visiting at International Headache Center from May 2010 to August 2012 were analyzed.ResultsPatients came from 16 different regions of China. Mean age at onset of cluster headache was 26.7 ± 10.9 years. Only 13 patients (10.8%) had previously been diagnosed with cluster headache. Mean time to diagnosis from first symptoms was 8.2 ± 7.1 years (range, 0–35 years). Chronic cluster headache was observed in only 9 patients (7.5%). The most commonly reported location of cluster headache was temporal region (75.0%), followed by retro-orbital region (68.3%), forehead (32.5%), vertex (32.5%) and occipital (22.5%). Lacrimation was the most consistently reported autonomic feature (72.5%). During acute attacks, 60.0% of patients experienced nausea, and 41.7% experienced photophobia and 40.8% experienced phonophobia. In addition, 38.3% reported restless behavior and 45.8% reported that physical activity exacerbated the pain. None of patients experienced visual or other kinds of aura symptoms before cluster attacks. We found that 38.3% of patients had <1 cluster period and 35.8% for 1–2 cluster periods per year with these periods occurring less frequently during the summer than during other seasons. Cluster duration was 1–2 months in 32.5% of patients. During cluster periods, 73.3% of patients had 1–2 attacks per day, and 39.2% experienced cluster attacks ranging in duration from 1 h to less than 2 h. The duration of attacks were 1.5 (1–2.25) hours for males and 1.5 (1-3) for females respectively. The World Health Organization quality of life-8 questionnaire showed that cluster headache reduced life quality.ConclusionsCompared to Western patients, Chinese patients showed a relatively low prevalence of chronic cluster headaches, pain sites mainly focused on areas distributed by the first division of the trigeminal nerve, a low frequency of restlessness and absent aura. These clinical features may be more common in Eastern populations, including mainland Chinese, Japanese and Taiwanese patients, than in Western patients.

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“…The very different temporal patterns and duration of attacks in migraine and CH are key factors on distinguishing between these two conditions, as it is true that other features of these headaches can overlap. These overlapping features include the development of aura (known to occur in up to 20% of CH cases) [14], the pain intensity (2/3 of migraine patients also have severe pain), the existence of cranial autonomic symptoms (at least one of these symptoms is known to occur in about half of migraine patients) [15,16,17,18,19,20,21,22] or the presence of associated ‘migraine' features in CH attacks (in a large German cohort CH attacks associated photo/phonofobia in 61% and nausea and vomiting in 28% of cases) [13]. The IHS criteria of ‘strictly unilateral pain' may also cause confusion as switching attack sides has been reported in at least 10% of CH cases [23] and also in up to 10% of cases migraine attacks are strictly unilateral for years [24].…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2014

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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.

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Cluster Headache with Aura

Cited by 23 publications

References 17 publications

Aura in Cluster Headache: A Cross‐Sectional Study

Aura in Cluster Headache: A Cross‐Sectional Study

Clinical profile of cluster headaches in China – a clinic-based study

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

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