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Cover Page

The handle

http://hdl.handle.net/1887/74055

holds various files of this Leiden University

dissertation.

Author: Wilbrink, L.A.

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Cluster headache: expansion of the clinical spectrum

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Leopoldine Wilbrink

Cluster headache: expansion of the clinical spectrum PhD thesis, Leiden University, The Netherlands, 2019 ISBN: 978-94-6332-498-4

© Leopoldine Wilbrink, The Netherlands 2019 Cover design: Poldi Petri

Lay out: Ferdinand van Nispen, my-thesis.nl

Printed by: GVO drukkers & vormgevers, Ede, The Netherlands

No part of this thesis may be reproduced in any form, by print, photocopy, digital file, internet, or any other means without written permission of the copyright owner.

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Cluster headache:

expansion of the clinical spectrum

Proefschrift

Ter verkrijging van de graad van Doctor aan de Universiteit Leiden

op gezag van Rector Magnificus Prof. Mr. C.J.J.M. Stolker, volgens besluit van het College voor Promoties

te verdedigen op woensdag 19 juni 2019 klokke 15:00 uur

door

Leopoldine Albertine Wilbrink Geboren te Kerkrade

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Promotores: Prof. Dr. M.D. Ferrari Prof. Dr. F.J.P.M. Huygen

Copromotor: Dr. J. Haan

Leden promotiecommissie: Prof. Dr. M.J.H. Wermer Dr. G.M. Terwindt Prof. Dr. A. Dahan

Dr. P.J. Koehler (Afdeling Neurologie, Zuyderland Medisch Centrum, Heerlen) Prof. Dr. K. Paemeleire (Department of Neurology, Ghent University Hospital)

The research described in this thesis was supported by grants of the Netherlands Organization for Scientific Research (NWO) [VICI 918.56.602 to M.D.F., VIDI 91711319 to G.M.T.], European Community (EC) [FP7-EUROHEADPAIN- no. 602633], the Dutch Ministry of Health, Medtronic and FondsNutsOhra. They had no role in the design or conduct of any of the studies.

Financial support for publication of this thesis has been provided by the Nederlandse Hoofdpijn Vereniging, and was gratefully accepted.

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Contents

Chapter 1 General introduction 9

Part 1 Cluster headache genetics 35

Chapter 2 Stepwise web-based questionnaires for diagnosing cluster headache: LUCA and QATCH

37

Part 2 Cluster headache: comorbidity and clinical features 57

Chapter 3 Cluster headache and depression 59

Chapter 4 Allodynia in cluster headache 77

Chapter 5 Cluster-tic Syndrome: A Cross-Sectional Study of Cluster Headache Patients

93

Chapter 6 Aura-related symptoms associated with cluster headache: outcomes of a LUCA substudy

107

Chapter 7 Cluster headache and epilepsy 119

Part 3 The ICON study 133

Chapter 8 Occipital nerve stimulation in medically intractable, chronic cluster headache: The ICON study, Rationale and protocol of a randomised trial

135

Chapter 9 General discussion 155

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