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

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• 作者：Zhao Dong (1)
  Hai Di (1)
  Wei Dai (1)
  Meiyan Pan (1)
  Zheng Li (1)
  Jingyao Liang (1)
  Mingjie Zhang (1)
  Zhibin Zhou (1)
  Ruozhuo Liu (1)
  Shengyuan Yu (1)
  
• 关键词：Cluster headache ; Chinese ; Features ; Sense of restlessness
• 刊名：The Journal of Headache and Pain
• 出版年：2013
• 出版时间：December 2013
• 年：2013
• 卷：14
• 期：1
• 全文大小：363 KB
• 参考文献：1. Headache Classification Subcommittee of the International Headache Society: The International Classification of Headache Disorders: 2nd edition. / Cephalalgia 2004,24(Suppl 1):60-3.
  2. May A: Cluster headache: pathogenesis, diagnosis, and management. / Lancet 2005, 366:843-55. CrossRef
  3. Nesbitt AD, Goadsby PJ: Cluster headache. / BMJ 2012, 344:e2407. CrossRef
  4. Dodick DW, Rozen TD, Goadsby PJ, Silberstein SD: Cluster headache. / Cephalalgia 2000, 20:787-03. CrossRef
  5. Bahra A, May A, Goadsby PJ: Cluster headache: a prospective clinical study with diagnostic implications. / Neurology 2002, 58:354-61. CrossRef
  6. Schurks M, Kurth T, de Jesus J, Jonjic M, Rosskopf D, Diener HC: Cluster headache: clinical presentation, lifestyle features, and medical treatment. / Headache 2006, 46:1246-254. CrossRef
  7. Gaul C, Christmann N, Schr?der D, Weber R, Shanib H, Diener HC, Holle D: Differences in clinical characteristics and frequency of accompanying migraine features in episodic and chronic cluster headache. / Cephalalgia 2012, 32:571-77. CrossRef
  8. Sjaastad O, Bakketeig LS: Cluster headache prevalence. Vaga study of headache epidemiology. / Cephalalgia 2003, 23:528-33. CrossRef
  9. Torelli P, Beghi E, Manzoni GC: Cluster headache prevalence in the Italian general population. / Neurology 2005, 64:469-74. CrossRef
  10. Katsarava Z, Obermann M, Yoon MS, Dommes P, Kuznetsova J, Weimar C, Diener HC: Prevalence of cluster headache in a population-based sample in Germany. / Cephalalgia 2007, 27:1014-019. CrossRef
  11. Fischera M, Marziniak M, Gralow I, Evers S: The incidence and prevalence of cluster headache: A meta-analysis of population-based studies. / Cephalalgia 2008, 28:614-18. CrossRef
  12. Broner SW, Cohen JM: Epidemiology of cluster headache. / Curr Pain Headache Rep 2009, 13:141-46. CrossRef
  13. Rozen TD, Fishman RS: Cluster headache in the United States of America: demographics, clinical characteristics, triggers, suicidality, and personal burden. / Headache 2012, 52:99-13. CrossRef
  14. Lin KH, Wang PJ, Fuh JL, Lu SR, Chung CT, Tsou HK, Wang SJ: Cluster headache in the Taiwanese -A clinic-based study. / Cephalalgia 2004, 24:631-38. CrossRef
  15. Imai N, Yagi N, Kuroda R, Konishi T, Serizawa M, Kobari M: Clinical profile of cluster headaches in Japan: Low prevalence of chronic cluster headache, and uncoupling of sense and behaviour of restlessness. / Cephalalgia 2011, 31:628-33. CrossRef
  16. Yu S, Liu R, Zhao G, Yang X, Qiao X, Feng J, Fang Y, Cao X, He M, Steiner T: The prevalence and burden of primary headaches in China: a population-based door-to-door survey. / Headache 2012, 52:582-91. CrossRef
  17. Manzoni GC, Terzano MG, Moretti G, Cocchi M: Clinical observations on 76 cluster headache cases. / Eur Neurol 1981, 20:88-4. CrossRef
  18. Ekbom K, Svensson DA, Traff H, Waldenlind E: Age at onset and sex ratio in cluster headache: observations over three decades. / Cephalalgia 2002, 22:94-00. CrossRef
  19. Torelli P, Cologno D, Cademartiri C, Manzoni GC: Possible predictive factors in the evolution from of episodic to chronic cluster headache. / Headache 2000, 40:798-08. CrossRef
  20. Manzoni GC: Male preponderance of cluster headache is progressively decreasing over the years. / Headache 1997, 37:588-89. CrossRef
  21. Manzoni GC: Gender ratio of cluster headache over the years: a possible role of changes in lifestyle. / Cephalalgia 1998, 18:138-42. CrossRef
  22. Rozen TD, Niknam RM, Shechter AL, Young WB, Silberstein SD: Cluster headache in women: clinical characteristics and comparison with cluster headache in men. / J Neurol Neurosurg Psychiatry 2001, 70:613-17. CrossRef
  23. Donnet A, Lanteri-Minet M, Guegan-Massardier E, Mick G, Fabre N, Géraud G, Société Fran?aise d'Etude des Migraines et Céphalées (SFEMC): Chronic cluster headache: a French clinical descriptive study. / J Neurol Neurosurg Psychiatry 2007, 78:1354-358. CrossRef
  24. Silberstein SD, Niknam R, Rozen TD, Young WB: Cluster headache with aura. / Neurology 2000, 54:219-21. CrossRef
  25. Rozen TD: Cluster headache with aura. / Curr Pain Headache Rep 2011, 15:98-00. CrossRef
  26. Pringsheim T: Cluster headache: evidence for a disorder of circadian rhythm and hypothalamic function. / Can J Neurol Sci 2002, 29:33-0.
  27. Kudrow L: The cylic relationship of natural illumination to cluster period frequency. / Cephalalgia 1987, 7:76-8. CrossRef
  28. Strittmatter M, Hamann GF, Grauer M, Fischer C, Blaes F, Hoffmann KH, Schimrigk K: Altered activity of the sympathetic nervous system and changes in the balance of hypophyseal, pituitary and adrenal hormones in patients with cluster headache. / Neuroreport 1996, 7:1229-234. CrossRef
  29. Hofman MA, Zhou JN, Swaab DF: Suprachiasmatic nucleus of the human brain: an immunocytochemical and morphometric analysis. / Anat Rec 1996, 244:552-62. CrossRef
  30. Holland PR, Goadsby PJ: Cluster headache, hypothalamus, and orexin. / Curr Pain Headache Rep 2009, 13:147-54. CrossRef
  31. Holle D, Obermann M: Cluster headache and the hypothalamus: causal relationship or epiphenomenon? / Expert Rev Neurother 2011, 11:1255-263. CrossRef
  32. Hofman MA, Purba JS, Swaab DF: Annual variations in the vasopressin neuron population of the human suprachiasmatic nucleus. / Neuroscience 1993, 53:1103-112. CrossRef
  33. Rozen TD, Fishman RS: Female cluster headache in the United States of America: what are the gender differences? Results from the United States Cluster Headache Survey. / J Neurol Sci 2012, 317:17-8. CrossRef
  
• 作者单位：Zhao Dong (1)
  Hai Di (1)
  Wei Dai (1)
  Meiyan Pan (1)
  Zheng Li (1)
  Jingyao Liang (1)
  Mingjie Zhang (1)
  Zhibin Zhou (1)
  Ruozhuo Liu (1)
  Shengyuan Yu (1)
  
  1. International Headache Center, Department of Neurology, Chinese PLA General Hospital, Fuxing Road 28 Haidian District, Beijing, 100853, China
  
• ISSN：1129-2377

文摘

Background The clinical profile of cluster headache in Chinese patients have not been fully studied. Methods The classification and clinical features of 120 consecutive patients with cluster headache (105 males, 15 females; mean age, 34.9?±-0.5?years) visiting at International Headache Center from May 2010 to August 2012 were analyzed. Results Patients came from 16 different regions of China. Mean age at onset of cluster headache was 26.7?±-0.9?years. Only 13 patients (10.8%) had previously been diagnosed with cluster headache. Mean time to diagnosis from first symptoms was 8.2?±-.1?years (range, 0-5?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- cluster periods per year with these periods occurring less frequently during the summer than during other seasons. Cluster duration was 1-?months in 32.5% of patients. During cluster periods, 73.3% of patients had 1- 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-.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. Conclusions Compared 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.