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KMID : 1130620190150010090
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Journal of Clinical Neurology
2019 Volume.15 No. 1 p.90 ~ p.96
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Development and Validation of the Cluster Headache Screening Questionnaire
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Chung Pil-Wook
Cho Soo-Jin
Kim Byung-Kun
Kim Soo-Kyoung
Lee Mi-Ji
Choi Yun-Ju
Park Jeong-Wook
Kim Byung-Su
Oh Kyung-Mi
Moon Heui-Soo
Song Tae-Jin
Kang Dan-Bee
Cho Ju-Hee
Chung Chin-Sang
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Abstract
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Background and Purpose: Cluster headache (CH) is frequently either not diagnosed or the diagnosis is delayed. We addressed this issue by developing the self-administered Cluster Headache Screening Questionnaire (CHSQ).
Methods: Experts selected items from the diagnostic criteria of CH and the characteristics of migraine. The questionnaire was administered to first-visit headache patients at nine headache clinics. The finally developed CHSQ included items based on the differences in responses between CH and non-CH patients, and the accuracy and reliability of the scoring model were assessed.
Results: Forty-two patients with CH, 207 migraineurs, 73 with tension-type headache, and 18 with primary stabbing headache were enrolled. The CHSQ item were scored as follows: 3 points for ipsilateral eye symptoms, agitation, and duration; 2 points for clustering patterns; and 1 point for the male sex, unilateral pain, disability, ipsilateral nasal symptoms, and frequency. The total score of the CHSQ ranged from 0 to 16. The mean score was higher in patients with CH than in non-CH patients (12.9 vs. 3.4, p<0.001). At a cutoff score of >8 points, the CHSQ had a sensitivity, specificity, positive predictive value, and negative predictive value of 95.2%, 96%, 76.9%, and 99.3%, respectively.
Conclusions: The CHSQ is a reliable screening tool for the rapid identification of CH.
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KEYWORD
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cluster headache, diagnosis, migraine, prevalence, questionnaire, screening
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