From Tics to Stabs: Renaming Cluster Tics in Cluster Headache—A Cross‐Sectional Study Article Swipe
M. W. P. Carney
,
M. Søborg
,
Stine Maarbjerg
,
Nunu Lund
,
Jacob Worm
,
Lars Bendtsen
,
Rigmor Jensen
,
Anja Sofie Petersen
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1111/ene.70053
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1111/ene.70053
Background Short‐lasting paroxysms of facial pain in patients with cluster headache have traditionally been called “cluster tics.” Mostly described as co‐occurring trigeminal neuralgia, they remain to be explored as an independent phenomenon. We investigated the prevalence of cluster tics in cluster headache, the clinical differentiation from trigeminal neuralgia, and propose a distinct definition and renaming of cluster tics. Methods We conducted a retrospective, controlled, cross‐sectional study using semi‐structured interviews of patients with cluster headache at the Danish Headache Center. A comparator cohort of patients with trigeminal neuralgia was included from a previous study. We investigated the lifetime prevalence of cluster tics in the cluster headache group and characterized them according to duration, location, pain‐intensity, triggerability, and serial occurrence. Results We included 424 participants with cluster headache (median age 52 years (IQR: 32–72), male–female ratio 3:2) and 576 participants with trigeminal neuralgia (median age 72 years (IQR: 50–94), male–female ratio 1:3). Cluster tics were reported by 200 (47%) cluster headache participants with higher odds for participants of female sex (OR: 1.94, 95% CI: 1.27–2.96, p = 0.002) and participants with chronic cluster headache (OR: 1.74, 95% CI: 1.15–2.63, p = 0.008). Unlike trigeminal neuralgia, cluster tics were not triggerable (OR: 0.02, 95% CI: 0.01–0.04, p < 2e‐16) and presented with pain restricted to the first trigeminal division. Conclusions Cluster tics are prevalent in nearly half of patients with cluster headache, associated to female sex and chronic phenotype. Unlike trigeminal neuralgia, cluster tics occur in the orbital region and are largely non‐triggerable. To improve terminology, we propose renaming cluster tics to “cluster stabs.”
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1111/ene.70053
- OA Status
- gold
- Cited By
- 2
- References
- 36
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4407346781
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4407346781Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1111/ene.70053Digital Object Identifier
- Title
-
From Tics to Stabs: Renaming Cluster Tics in Cluster Headache—A Cross‐Sectional StudyWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2025Year of publication
- Publication date
-
2025-02-01Full publication date if available
- Authors
-
M. W. P. Carney, M. Søborg, Stine Maarbjerg, Nunu Lund, Jacob Worm, Lars Bendtsen, Rigmor Jensen, Anja Sofie PetersenList of authors in order
- Landing page
-
https://doi.org/10.1111/ene.70053Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://doi.org/10.1111/ene.70053Direct OA link when available
- Concepts
-
Cluster headache, Tics, Medicine, Trigeminal neuralgia, Cluster (spacecraft), Odds ratio, Cross-sectional study, Retrospective cohort study, Pediatrics, Anesthesia, Internal medicine, Migraine, Psychiatry, Pathology, Computer science, Programming languageTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
2Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 2Per-year citation counts (last 5 years)
- References (count)
-
36Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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