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EHMTI-0103. Errors in recognition and management are still frequent in cluster headache

Introduction

The prevalence of cluster headache (CH) is estimated to be around 0.1% of the general population; that is most likely physicians will be consulted by patients with CH during their clinical practice.

Aims

To analyse the trajectory to diagnosis and information provided in a series of CH patients from five headache clinics in Spain.

Methods

CH patients were asked to fulfil an ad hoc questionnaire.

Results

Seventy-five patients (mean age 41.5 years, 67 males) completed the questionnaire. Patients had visited during an average of 4.9 years a mean of 4.6 physicians who had obtained 2.5 neuroimaging procedures per patient before getting a diagnosis of CH. Sixty-three (84%) had received no diagnosis (21 cases; 28%), while 43 (57%) had been given an average of 2.1 alternative diagnoses. Migraine, trigeminal neuralgia and sinusitis were the most frequent mistakes. After diagnosis, 55% had subjectively received poor/very poor information on CH. Ninety-five percent had poor or incorrect information about the nature of the disease, or acute (70%) and preventive (61%) treatments. Aetiology (90%), management options (36%) and potential adverse events of medications (29%) were their main information demands.

Conclusions

Although CH is an invalidating and clinically clear-cut disorder suffered by around 1/1000 people, it is still frequently unrecognized and/or mistaken for other disorders, which calls for a better knowledge and education in the diagnosis of the main primary headaches.

No conflict of interest.

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Correspondence to M Sánchez del Río.

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Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0), which permits use, duplication, adaptation, distribution, and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

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del Río, M.S., Leira, R., Pozo-Rosich, P. et al. EHMTI-0103. Errors in recognition and management are still frequent in cluster headache. J Headache Pain 15, C50 (2014). https://doi.org/10.1186/1129-2377-15-S1-C50

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  • DOI: https://doi.org/10.1186/1129-2377-15-S1-C50

Keywords

  • General Population
  • Migraine
  • Good Knowledge
  • Sinusitis
  • Primary Headache