Validation of a brief self-administered questionnaire for cluster headache screening in a tertiary center

Headache
Virginie DoussetBruno Brochet

Abstract

Cluster headache remains substantially underdiagnosed and undertreated. Early neurologic referral is indicated in patients with a suspected diagnosis of cluster headache (CH) so that management can be optimized and unnecessary procedures avoided. To validate a brief self-administered questionnaire designed to screen CH cases in tertiary centers. The review of clinical studies led us to identify the 3 more prevalent criteria of the second edition of the International Headache Society classification (International Classification of Headache Disorders, 2nd edition [ICHD II]) for all forms of CH (episodic and chronic forms). These 3 criteria were: strictly unilaterality of pain, attack duration <180 minutes if untreated, ipsilateral conjunctival injection, and/or lacrimation. These criteria were transformed in questions formulated in such a way that they could be self-administered and easily understood. Answer to each question was yes or no. Patients were unaided. The self-questionnaire was compared with the gold standard, the ICHD II criteria used by specialists at the university of Bordeaux headache center.We calculated the sensitivity and specificity for the 3 questions and for each pair of questions. The self-questionnaire was ...Continue Reading

References

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Citations

Apr 30, 2013·Cephalalgia : an International Journal of Headache·Leopoldine A WilbrinkGisela M Terwindt
Jan 9, 2019·Journal of Clinical Neurology·Pil Wook ChungChin Sang Chung
Oct 20, 2018·Cephalalgia : an International Journal of Headache·Rachel PotterManjit Matharu
May 6, 2021·Current Neurology and Neuroscience Reports·Himanshu Suri, Jessica Ailani
Jun 22, 2021·Cephalalgia : an International Journal of Headache·Randika ParakramaweeraMark J Burish

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