Clinical Features and Pain Characteristics of Cluster Headache
Yıl: 2021 Cilt: 27 Sayı: 4 Sayfa Aralığı: 377 - 382 Metin Dili: İngilizce DOI: 10.4274/tnd.2021.33427 İndeks Tarihi: 18-05-2022
Clinical Features and Pain Characteristics of Cluster Headache
Öz: Objective: Trigeminal autonomic headaches are the primary headache group that occurs with autonomic stimulation of the cranial nerves. The most common type of this group is cluster headache (CH). This study aimed to report the clinical features and pain characteristics of patients with CH. Materials and Methods: Patients of the outpatient headache center between 2010 and 2020 were retrospectively analyzed. Inclusion criteria were diagnosis of CH and a minimum of 1-year follow-up. Records were reviewed using the International Headache Classification-3β. The sociodemographic characteristics of patients, types of pain, pain characteristics, and treatments that were used were documented. Clinical features were compared with sociodemographic characteristics and factors that could affect the pain features. Results: The mean age of 32 patients (25 male and 7 female) was 41.8 (23-68) years, and the mean age at disease onset was 31.7 (15-65) years. Lacrimation followed by conjunctival injection were the most common autonomic findings. According to gender, no statistical significance was found between pain character (p=0.166), painful side (p=0.572), month of onset (p=0.562), accompanying autonomic findings (p=0.495), pain duration (p=0.650), pain occurrence time during the day (p=0.394), and localization (Retroorbital/orbital, p=0.602; temporal, p=0.650; and forehead p=0.394). Nine patients had migraine-like features (MLF). The pain duration of patients with MLF was found to be 1.14±0.6 months and this period was longer than the results of other patients. No statistically significant difference was found between pain characteristics. Conclusion: The delay in diagnosis due to MLF that may accompany shows the importance of increasing awareness in the definition of CH.
Anahtar Kelime: Küme Baş Ağrısının Klinik Özellikleri ve Ağrı Karakteristiği
Öz: Amaç: Trigeminal otonomik baş ağrıları, kafa çiftlerinin otonom uyarılmasıyla ortaya çıkan primer baş ağrısı grubudur. En sık görülen tipi küme baş ağrısıdır (KB). Bu çalışmada KB’nin klinik bulgularının ve ağrı karakterinin incelenmesi amaçlanmıştır. Gereç ve Yöntem: Eğitim araştırma hastanesi baş ağrısı polikliniklerine 2010-2020 arasında başvurmuş, Uluslararası Baş Ağrısı Sınıflaması-3β versiyonuna göre, KB tanısı ile en az 1 yıldır takip edilen hastalar çalışmaya dahil edildi. Hastaların sosyodemografik özellikleri, ağrı özellikleri, kullanılan tedaviler retrospektif olarak incelendi. Ağrı klinikleri ile sosyodemografik özellikler ve ağrı özelliklerine etki edebilecek faktörler karşılaştırıldı. Bulgular: Çalışmaya 32 hasta alındı. Yirmi beş erkek, yedi kadın hastanın yaş ortalaması 41,8 (23-68), hastalığın başlangıç yaş ortalaması 31,7 (15-65) idi. Gözde yaşarma ve ardından gözde kızarma en sık görülen otonom bulguları oluşturmaktaydı. Ağrı özellikleri cinsiyetlere göre karşılaştırıldığında ağrı karakteri, ağrılı taraf, başlangıç ayı, eşlik eden otonomik bulgular, ağrı süresi ve ağrının gün içindeki oluşum saati arasında istatistiksel anlamlılık tespit edilmedi (sırasıyla; p=0,166, p=0,572, p=0,562, göz p=0,495, şakak p=0,364, alın p=0,602, p=0,650, p=0,394). Dokuz hastada migren benzeri özellikler (MLF) bulunmaktaydı. MLF eşik eden hastaların ağrı süresi 1,14±0,6 ay olarak bulundu ve bu sürenin diğer hastaların sonuçlarına göre daha uzun olduğu izlendi. Ancak iki grup kıyaslandığında ağrı süresi dahil ağrı özellikleri, başlangıç yaşı, aile öyküsü, arasında istatistiksel anlamlı fark gözlenmedi. Sonuç: Bu çalışmada KB’nin klinik bulguları gözden geçirildi. Özellikle eşlik edebilen migren benzeri bulgular nedeniyle tanı almada gecikme yaşanması, KB’nin tanımlanmasında farkındalığın artmasının önemini göstermektedir.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | EREN F, Gul G (2021). Clinical Features and Pain Characteristics of Cluster Headache. , 377 - 382. 10.4274/tnd.2021.33427 |
| Chicago | EREN FULYA,Gul Gunay Clinical Features and Pain Characteristics of Cluster Headache. (2021): 377 - 382. 10.4274/tnd.2021.33427 |
| MLA | EREN FULYA,Gul Gunay Clinical Features and Pain Characteristics of Cluster Headache. , 2021, ss.377 - 382. 10.4274/tnd.2021.33427 |
| AMA | EREN F,Gul G Clinical Features and Pain Characteristics of Cluster Headache. . 2021; 377 - 382. 10.4274/tnd.2021.33427 |
| Vancouver | EREN F,Gul G Clinical Features and Pain Characteristics of Cluster Headache. . 2021; 377 - 382. 10.4274/tnd.2021.33427 |
| IEEE | EREN F,Gul G "Clinical Features and Pain Characteristics of Cluster Headache." , ss.377 - 382, 2021. 10.4274/tnd.2021.33427 |
| ISNAD | EREN, FULYA - Gul, Gunay. "Clinical Features and Pain Characteristics of Cluster Headache". (2021), 377-382. https://doi.org/10.4274/tnd.2021.33427 |
| APA | EREN F, Gul G (2021). Clinical Features and Pain Characteristics of Cluster Headache. Türk Nöroloji Dergisi, 27(4), 377 - 382. 10.4274/tnd.2021.33427 |
| Chicago | EREN FULYA,Gul Gunay Clinical Features and Pain Characteristics of Cluster Headache. Türk Nöroloji Dergisi 27, no.4 (2021): 377 - 382. 10.4274/tnd.2021.33427 |
| MLA | EREN FULYA,Gul Gunay Clinical Features and Pain Characteristics of Cluster Headache. Türk Nöroloji Dergisi, vol.27, no.4, 2021, ss.377 - 382. 10.4274/tnd.2021.33427 |
| AMA | EREN F,Gul G Clinical Features and Pain Characteristics of Cluster Headache. Türk Nöroloji Dergisi. 2021; 27(4): 377 - 382. 10.4274/tnd.2021.33427 |
| Vancouver | EREN F,Gul G Clinical Features and Pain Characteristics of Cluster Headache. Türk Nöroloji Dergisi. 2021; 27(4): 377 - 382. 10.4274/tnd.2021.33427 |
| IEEE | EREN F,Gul G "Clinical Features and Pain Characteristics of Cluster Headache." Türk Nöroloji Dergisi, 27, ss.377 - 382, 2021. 10.4274/tnd.2021.33427 |
| ISNAD | EREN, FULYA - Gul, Gunay. "Clinical Features and Pain Characteristics of Cluster Headache". Türk Nöroloji Dergisi 27/4 (2021), 377-382. https://doi.org/10.4274/tnd.2021.33427 |
