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Cluster headache: a single tertiary center study.

Zeynep Tuncer Issı1, Nurcan Akbulut2, Vesile Öztürk3

  • 1Department of Pain Management, Sakarya Research and Training Hospital, Sakarya, Turkey.

Neurological Research
|November 16, 2021
PubMed
Summary

This study describes cluster headache (CH) patient characteristics in Turkey, revealing similarities and differences with global data. Findings highlight potential regional variations in CH presentation and treatment.

Keywords:
Headacheautonomic symptomscliniccluster headachediagnosistrigeminal autonomic cephalgia

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Area of Science:

  • Neurology
  • Clinical Neuroscience
  • Epidemiology

Background:

  • Cluster headache (CH) is a debilitating neurological disorder with documented clinical features and management strategies globally.
  • However, limited clinical data from Turkey hinders a comprehensive understanding of regional variations in CH.

Purpose of the Study:

  • To characterize the clinical features, demographics, and treatment approaches of cluster headache patients in Turkey.
  • To compare these findings with existing data from other global regions.

Main Methods:

  • A cross-sectional retrospective study was conducted.
  • Data from 114 cluster headache patients diagnosed and referred to Dokuz Eylül University Headache Clinic between 1991 and 2018 were analyzed.

Main Results:

  • The study included 114 patients (90 males, 24 females) with a mean age at onset of 31.68 years.
  • Episodic cluster headache (ECH) was more prevalent (78.18%) than chronic cluster headache (CCH) (21.82%).
  • The most common location was orbitotemporal, with lacrimation as the most frequent accompanying symptom. Verapamil was the most common prophylactic treatment.

Conclusions:

  • Turkish cluster headache patients exhibit some clinical features similar to those in Europe, America, and Asia, but also notable differences.
  • These findings suggest regional variations in cluster headache presentation.
  • Further research from diverse countries is essential to objectively elucidate these clinical differences.