Conflict of Interest: The authors report no conflict of interest.
Migraine-Like Accompanying Features in Patients With Cluster Headache. How Important Are They?
Version of Record online: 27 MAR 2013
© 2013 American Headache Society
Headache: The Journal of Head and Face Pain
Volume 53, Issue 9, pages 1464–1469, October 2013
How to Cite
Zidverc-Trajkovic, J., Podgorac, A., Radojicic, A. and Sternic, N. (2013), Migraine-Like Accompanying Features in Patients With Cluster Headache. How Important Are They?. Headache: The Journal of Head and Face Pain, 53: 1464–1469. doi: 10.1111/head.12077
- Issue online: 1 OCT 2013
- Version of Record online: 27 MAR 2013
- Manuscript Accepted: 4 DEC 2012
- Ministry of Science and Technology of the Republic of Serbia. Grant Number: 175022
- cluster headache;
- accompanying feature
According to the International Classification of Headache Disorders diagnostic criteria, the differences between migraine and cluster headache (CH) are clear. In addition to headache attack duration and pain characteristics, the symptoms accompanying headache represent the key features in a differential diagnosis of these 2 primary headache disorders. Just a few studies of patients with CH exist examining the presence of nausea, vomiting, photophobia, phonophobia, and aura, the features commonly accompanying migraine headache.
The aim of this study was to determine the presence of migraine-like features (MF) in patients with CH and establish the significance of these phenomena related to other clinical features and response to treatment.
One hundred and fifty-five patients with CH were studied, and 24.5% of them experienced at least one of MF during every CH attack. Nausea and vomiting were the most frequently reported MF. The clinical presentation between CH patients with and without MF was not significantly different with the exception of aggravation of pain by effort (20.6% vs 4.1%) and facial sweating (13.2% vs 0.85%), both more frequent in CH patients with MF.
Inferred from the results of our study, the presence of MF in CH patients had no important influence on the diagnosis and treatment of CH patients. The major differences of these 2 primary headache disorders, attack duration, lateralization, and the nature of associated symptoms, as delineated in the International Classification of Headache Disorders, are still useful tools for effective diagnosis.