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Published on: June 2, 2014
[Aura-related symptoms associated with cluster headache: outcomes of a LUCA substudy]
L A Wilbrink1, Carlo Cheung, Claudia M Weller
1LUMC, Afd. Neurologie, Leiden, the Netherlands. l.a.wilbrink@lumc.nl
Objective:
To describe the prevalence of aura in a Dutch cluster headache (CH) population.
Design:
Cross-sectional, epidemiological study.
Method:
As part of a large-scale study into headaches conducted in Leiden (the Netherlands), patients experiencing headaches were identified by means of questionnaires on a headache website. One group of patients with CH was approached by telephone and an interview on aura-related symptoms was performed by means of a standardized questionnaire. The presence of migraine co-morbidity was also investigated.
Results:
Of the interviewed CH patients, 22 out of 244 (9.0%) had aura-related symptoms preceding a CH attack, which were predominantly visual in nature. The majority (72.7%) of these patients did not have migraine co-morbidity.
Conclusion:
Aura-related symptoms can occur in CH without migraine co-morbidity. In clinical practice, it should be taken into account that the presence of an aura does not always indicate migraine.
