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- Title
Evaluation of the new ICHD-III beta cluster headache criteria.
- Authors
de Coo, I. F.; Wilbrink, L. A.; Haan, J.; Ferrari, M. D.; Terwindt, G. M.
- Abstract
<bold>Aim: </bold>In the revised criteria of the International Classification of Headache Disorders (ICHD-III beta) the following items are added to the diagnostic criteria of cluster headache: ipsilateral sensation of fullness in the ear and ipsilateral forehead/facial flushing. We evaluated the possible additional value of these symptoms for diagnosing cluster headache.<bold>Methods: </bold>In this cross-sectional cohort study of (potential) cluster headache patients we investigated these additional symptoms using a Web-based questionnaire. Patients not fulfilling the ICHD-II criteria for cluster headache but fulfilling the ICHD-III beta criteria were interviewed.<bold>Results: </bold>Response rate was 916/1138 (80.5%). Of all 573 patients with cluster headache according to ICHD-II criteria, 192 (33.5%) reported ipsilateral ear fullness and 113 (19.7%) facial flushing during attacks. There was no difference in reporting ipsilateral ear fullness and facial flushing between patients who received a diagnosis of cluster headache and patients who did not. None of the patients who did not fulfill all ICHD-II criteria could be categorized as cluster headache according to the ICHD-III beta criteria.<bold>Conclusion: </bold>The results of this study do not support the addition of ear fullness and facial flushing to the new ICHD-III beta criteria.
- Subjects
SYMPTOMS; BLUSHING; EAR diseases; CLUSTER headache; PATIENTS; DIAGNOSIS; LONGITUDINAL method; NOSOLOGY; CROSS-sectional method; DISEASE complications
- Publication
Cephalalgia, 2016, Vol 36, Issue 6, p547
- ISSN
0333-1024
- Publication type
journal article
- DOI
10.1177/0333102415607856