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1.
Konstantinidos Vadikolias Ioannis Heliopoulos Grigorios Tripsianis Athanasios Achtaropoulos Elias Homsioglou Nickolaos Artemis Haritomeni Piperidou Ioannis Milonas 《The journal of headache and pain》2002,3(2):87-91
Based on the knowledge that migraine and tension-type headache (TTH) are associated with reduced effectiveness at work and
impairment of function in social roles, we studied the different influences that these primary headaches have on work in a
specialized and homogeneous population. We studied 140 consecutive male patients, aged 18–35 years, attending an outpatient
headache clinic at the Neurology Department of an Army General Hospital. Using International Headache Society (IHS) criteria,
60 patients were diagnosed with migraine and 80 patients with TTH. The impact of headache on work during the preceding 2 months
was assessed using a selfadministered questionnaire, based on MIDAS. Two parameters of work disability were derived: the lost
work days (LWD) and the days with reduced effectiveness while being at work (REWD). Of 142 LWD due to headaches, 95 (66.9%)
were attributable to migraine and 47 (33.1%) to TTH (plt;0.001). Of 490 REWD, 120 (24.4%) were reported by migraineurs and 370 (75.5%) by TTH patients (p<0.001). The number of LWD in migraine was significantly higher (p<0.001) than in TTH group; the number of REWD in TTH group was significantly higher (p<0.001) than in migraine group. Pain intensity was the main factor contributing to disability at work in migraine group (plt;0.001), in contrast with TTH group in which there was no statistical difference (p>0.05) between pain intensity and duration of pain. Patients with migraine were much more likely to report actual lost workdays
because of headache whereas TTH was responsible for the largest proportion of decreased work effectiveness. Assessing headache
severity with an objective method (i.e. questionnaire) may improve headache care and lead to proper treatment decisions. Special
attention must be given to particular populations.
Received: 14 January 2002, Accepted in revised form: 22 April 2002
Correspondence to I. Heliopoulos 相似文献
2.
Wang Y Zhou J Fan X Li X Ran L Tan G Chen L Wang K Liu B 《The journal of headache and pain》2011,12(5):561-567
This study aimed to analyze and classify the clinical features of headache in neurological outpatients. A cross-sectional
study was conducted consecutively from March to May 2010 for headache among general neurological outpatients attending the
First Affiliated Hospital of Chongqing Medical University. Personal interviews were carried out and a questionnaire was used
to collect medical records. Diagnosis of headache was according to the International classification of headache disorders,
2nd edition (ICHD-II). Headache patients accounted for 19.5% of the general neurology clinic outpatients. A total of 843 (50.1%)
patients were defined as having primary headache, 454 (27%) secondary headache, and 386 (23%) headache not otherwise specified
(headache NOS). For primary headache, 401 (23.8%) had migraine, 399 (23.7%) tension-type headache (TTH), 8 (0.5%) cluster
headache and 35 (2.1%) other headache types. Overall, migraine patients suffered (1) more severe headache intensity, (2) longer
than 6 years of headache history and (3) more common analgesic medications use than TTH ones (p < 0.001).TTH patients had more frequent episodes of headaches than migraine patients, and typically headache frequency exceeded
15 days/month (p < 0.001); 22.8% of primary headache patients were defined as chronic daily headache. Almost 20% of outpatient visits to the
general neurology department were of headache patients, predominantly primary headache of migraine and TTH. In outpatient
headaches, more attention should be given to headache intensity and duration of headache history for migraine patients, while
more attention to headache frequency should be given for the TTH ones. 相似文献
3.
Gaul C van Doorn C Webering N Dlugaj M Katsarava Z Diener HC Fritsche G 《The journal of headache and pain》2011,12(4):475-483
This study investigated the outcome of a 5-day headache-specific multidisciplinary treatment program (MTP) and the adherence
to treatment recommendations in 295 prospectively recruited consecutive headache patients [210 migraine, 17 tension-type headache
(TTH), 68 combination headache, including 56 medication-overuse headache (MOH)]. Headache frequency decreased from 13.4 (±8.8)
to 8.8 (±8.0) days per month after 12–18 months. Forty-three percent of the participants fulfilled the primary outcome (reduction
of headache frequency of ≥50%), which was less likely in patients with combination of migraine and TTH compared to migraine
(OR = 3.136, p = 0.002) or TTH (OR = 1.029, n.s.). Increasing number of headache days per month (OR = 1.092, p ≤ 0.0001) and adherence to lifestyle modifications (OR = 1.269, p = 0.004) predicted primary outcome. 51 of 56 MOH patients were treated successfully. Thirty-five percent of the patients
were adherent to pharmacological prophylaxis, 61% to relaxation therapy, and 72% to aerobic endurance sports. MTP is effective
in headache treatment. Adherence to therapy was associated with better outcome. 相似文献
4.
Jessica Ailani 《Current pain and headache reports》2010,14(6):436-440
Most of the world’s population has suffered from a tension-type headache (TTH) at some point in their lives. The pathophysiology of this disease is not well understood, but TTH shares many features with migraine, leading to the belief that TTH and migraine may be on different ends of the same disease spectrum. There are many shared triggers between migraine and TTH, menstruation being one of them. Does menses being a trigger for TTH make TTH more like migraine, or does the role of sex hormones in TTH give us insight into the unique pathophysiology of this disease? This article will review TTH, concentrating on the role of sex hormones as a trigger for TTH. 相似文献
5.
Ilya Kister A. B. Caminero T. S. Monteith A. Soliman T. E. Bacon J. H. Bacon J. T. Kalina M. Inglese J. Herbert R. B. Lipton 《The journal of headache and pain》2010,11(5):417-425
The objectives of this study were: (1) to assess relative frequency of migraine in multiple sclerosis (MS) patients using
the validated self-administered diagnostic questionnaire, and to compare the migraine rates in MS outpatients to age- and
gender-matched historical population controls; (2) to compare clinical and radiographic characteristics in MS patients with
migraine and headache-free MS patients. We conducted a cross-sectional study to assess the demographic profiles, headache
features and clinical characteristics of MS patients attending a MS clinic using a questionnaire based on the American Migraine
Prevalence and Prevention (AMPP) study. We compared the relative frequency of migraine in MS clinic patients and AMPP cohort.
We also compared clinical and radiographic features in MS patients with migraine to an MS control group without headache.
Among 204 MS patients, the relative frequency of migraine was threefold higher than in population controls both for women
[55.7 vs. 17.1%; prevalence ratio (PR) = 3.26, p < 0.001] and men (18.4 vs. 5.6%; PR = 3.29, p < 0.001). In a series of logistic regression models that controlled for age, gender, disease duration, β-interferon use,
and depression, migraine in MS patients was significantly associated (p < 0.01) with trigeminal and occipital neuralgia, facial pain, Lhermitte’s sign, temporomandibular joint pain, non-headache
pain and a past history of depression. Migraine status was not significantly associated with disability on patient-derived
disability steps scale or T2 lesion burden on brain MRI. Migraine is three-times more common in MS clinic patients than in
general population. MS–migraine group was more symptomatic than the MS–no headache group. 相似文献
6.
Little information exists
about a causal association between
PFO and migraine. Some patients
identify Valsalva-provoking activities
(VPA) as migraine triggers.
Therefore, we speculate about a pathogenic
connection. The object of the
study is to investigate the prevalence
of right-to-left shunt (RLS) in a
cohort of patients suffering migraine
with aura (MA) and its possible association
with migraine attacks triggered
by VPA. We investigated the circumstances
triggering the migraine
attacks, in a consecutive series of 72
MA patients and in a series of
migraine without aura age and gender-matched. The presence and extent
of RLS was assessed by transcranial
Doppler. Massive RLS appeared in
38.9% of MA and in 6.5% of
migraine without aura (p<0.001). MA
patients identified at least one VPA as
headache trigger in 45.8%. A trend
was found between these triggering
activities and massive RLS, both in
MAgroup OR 2.7 [1.02–7.17] and in
all migraine patients OR 2.5
[1.01–6.11]. According to our results,
patients with migraine who have larger
RLS tend to recognize activities
that increase the extent of the shunt as
a trigger of their migraine attacks. 相似文献
7.
Ali Reza Moaref Peyman Petramfar Kamran Aghasadeghi Mahmood Zamirian Mohammad Bagher Sharifkazemi Shahed Rezaian Sasan Afifi Najaf Zare Gholam Reza Rezaian 《The journal of headache and pain》2009,10(6):431-434
The association of patent foramen ovale (PFO) and atrial septal aneurysm (ASA) with migraine headache attack (MHA) has been
clearly shown. The same findings have been recently demonstrated also in cluster headache. Although tension-type headaches
(TTH) are the most common kind of headache, their association with these atrial septal abnormalities has never been studied
before. The study was conducted to clarify whether there was a significant association between the presence of such atrial
septal abnormalities and tension headache, when compared with migraineurs. One hundred consecutive patients with migraine
and 100 age- and sex-matched subjects with TTH and 50 healthy volunteers with no headache were enrolled in the study and underwent
a complete transesophageal echocardiographic study with contrast injections at rest and with the Valsalva maneuver. There
was no significant difference between the age and the sex of the participants of the three groups. The overall prevalence
of PFO was 23% in patients with TTH and that of large PFOs was only 11%. The 23% prevalence of PFO in patients with TTH was
not statistically different from 16% found in our normal control group. Furthermore, we found a significantly higher prevalence
of PFO in migraineurs (50%) when compared with patients with tension headache (p < 0.001). This was also true for the collective presence of large PFOs and ASAs (35%) (p < 0.001). Although atrial septal anomalies have an association with MHA, they do not have a significant association with
TTH. 相似文献
8.
Migraine and tension-type headache in Croatia: a population-based survey of precipitating factors 总被引:4,自引:0,他引:4
Zivadinov R Willheim K Sepic-Grahovac D Jurjevic A Bucuk M Brnabic-Razmilic O Relja G Zorzon M 《Cephalalgia : an international journal of headache》2003,23(5):336-343
The careful monitoring of the trigger factors of headache could be an important step in treatment, because their avoidance may lessen the frequency and severity of attacks. Furthermore, they may provide a clue to the aetiology of headache. The aim of the present study was to estimate the prevalence of tension-type headache (TTH) and to establish the frequency of precipitating factors in subjects with migraine and TTH in the adult population of Bakar, County of the Coast and Gorski Kotar, Croatia. Another important purpose of the study was to examine the relationship of the precipitating factors with migraine and TTH, and with migraine subtypes: migraine with aura (MA) and migraine without aura (MO). We performed a population-based survey using a 'face-to-face door-to-door' interview method. The surveyed population consisted of 5173 residents aged between 15 and 65 years. The 3794 participants (73.3%) were screened for headache history according to the International Headache Society (IHS) criteria. Headache screen-positive responders, 2475 (65.2%), were interviewed by trained medical students with a structured detailed interview focused on the precipitating factors. The following precipitating factors in lifetime migraineurs and tension-type headachers have been assessed: stress, sleep disturbances, eating habits, menstrual cycle, oral contraceptives, food items, afferent stimulation, changes in weather conditions and temperature, frequent travelling and physical activity. A total of 720 lifetime migraineurs and 1319 tension-type headachers have been identified. The most common precipitants for both migraine and TTH were stress and frequent travelling. Stress (odds ratio (OR) 1.4, 95% confidence interval (CI) 1.17, 1.69) was associated with migraine, whereas physical activity (OR 0.72, 95% CI 0.59, 0.87) was related to TTH. Considering MA and MO, frequent travelling (OR 2.2, 95% CI 1.59, 2.99), food items (OR 2.2, 95% CI 1.35, 3.51) and changes in weather conditions and temperature (OR 1.75, 95% CI 1.27, 2.41) exhibited a significant positive association with MA. The present study demonstrated that precipitant-dependent attacks are frequent among both migraineurs and tension-type headachers. Lifetime migraineurs experienced headache attacks preceded by triggering factors more frequently than tension-type headachers. MA was more frequently associated with precipitating factors than MO. We suggest that some triggering factors may contribute to the higher occurrence of precipitant-dependent headache attacks in susceptible individuals. 相似文献
9.
Perozzo P Savi L Castelli L Valfrè W Lo Giudice R Gentile S Rainero I Pinessi L 《The journal of headache and pain》2005,6(5):392-399
The objective was to
evaluate the prevalence and the
characteristics of anger and emotional
distress in migraine and tension–
type headache patients. Two
hundred and one headache patients
attending the Headache Center of
the University of Turin were
selected for the study and divided
into 5 groups: (1) migraine, (2)
episodic tension–type headache, (3)
chronic tension–type headache, (4)
migraine associated with episodic
tension–type headache and (5)
migraine associated with chronic
tension–type headache. A group of
45 healthy subjects served as controls.
All the subjects completed
the State–Trait Anger Expression
Inventory, the Beck's Depression
Inventory and the Cognitive
Behavioral Assessment. Anger control
was significantly lower in all
headache patients (p<0.05) except
in migraineurs. Patients with
migraine and tension–type
headache showed a significantly
higher level of angry temperament
and angry reaction (p<0.05). In
addition, chronic tension–type
headache and migraine associated
with tension–type headache
patients reported a higher level of
anxiety (p<0.05), depression
(p<0.001), phobias (p<0.001) and
obsessive–compulsive symptoms
(p<0.01), emotional liability
(p<0.001) and psychophysiological
disorders (p<0.001). Our study
shows that chronic tension–type
headache and migraine associated
with tension–type headache
patients present a significant
impairment of anger control and
suggests a connection between
anger and the duration of headache
experience. 相似文献
10.
Couch JR 《Current pain and headache reports》2004,8(6):479-483
Chronic daily headache (CDH) is an overarching term that includes multiple types of frequent primary headaches that are not
trigeminal-autonomic cephalgias. The components of typical CDH can be divided into a more severe or “big” headache and a less
severe or “little” headache. The big headaches tend to have features of migraine while the little headaches have features
of tension-type headache (TTH). Whether this represents a spectrum or continuum or whether it is the superimposition of two
unique headache entities is open to debate. For subjects with big and little headache, the concept that the TTH component
is part of a spectrum seems likely. Subjects with only TTH and no migrainous component seem to represent a different entity,
pure chronic TTH. These patients have a daily moderate headache that is poorly responsive to current therapies and appears
to be a different TTH than the migraine tension type of CDH. The TTH component of CDH may represent multiple subdivisions
of TTH. 相似文献
11.
The prevalence and characterization of migraine triggers have not been rigorously studied in children and adolescents. Using
a questionnaire, we retrospectively studied the prevalence of 15 predefined trigger factors in a clinic-based population.
In 102 children and adolescents fulfilling the Second Edition of The International Headache Classification criteria for paediatric
migraine, at least one migraine trigger was reported by the patient and/or was the parents’ interpretation in 100% of patients.
The mean number of migraine triggers reported per subject was 7. Mean time elapsed between exposure to a trigger factor and
attack onset was comprised between 0 and 3 h in 88 patients (86%). The most common individual trigger was stress (75.5% of
patients), followed by lack of sleep (69.6%), warm climate (68.6%) and video games (64.7%). Stress was also the most frequently
reported migraine trigger always associated with attacks (24.5%). In conclusion, trigger factors were frequently reported
by children and adolescents with migraine and stress was the most frequent. 相似文献
12.
Knut Hagen John-Anker Zwart Anne Hege Aamodt Kristian Bernhard Nilsen Geir Bråthen Grethe Helde Marit Stjern Erling A. Tronvik Lars Jacob Stovner 《The journal of headache and pain》2010,11(1):67-73
The Nord-Trøndelag Health Study (HUNT 3) performed in 2006–2008 is a replication of the cross-sectional survey from 1995 to 1997 (HUNT 2). The aim of the present study was to assess the sensitivity and specificity of questionnaire-based headache diagnoses using a personal interview by a neurologist as a gold standard. For the questionnaire-based status as headache sufferer, a sensitivity of 88%, a specificity of 86%, and a kappa statistic of 0.70 were found. Chronic headache, chronic tension-type headache (TTH), and medication overuse headache (MOH) were diagnosed with a specificity of ≥99%, and a kappa statistic of ≥0.73. Lower figures were found for the diagnoses of migraine and TTH. For individuals with headache ≥1 day per month, a sensitivity of 58% (migraine) and 96% (TTH), a specificity of 91 and 69%, and a kappa statistic of 0.54 and 0.44 were found, respectively. The specificity for migraine with aura was 95%. In conclusion, the HUNT 3-questionnaire is a valid tool for identifying headache sufferers, and diagnosing patients with chronic headache, including chronic TTH and MOH. The more moderate sensitivity for migraine and TTH makes the questionnaire-based diagnoses of migraine and TTH suboptimal for determining the prevalence. However, the high specificity of the questionnaire-based diagnosis of migraine, in particular for migraine with aura, makes the questionnaire a valid tool for diagnosing patients with migraine for genetic studies. 相似文献
13.
Yoon MS Obermann M Fritsche G Slomke M Dommes P Schilf C Diener HC Katsarava Z 《Cephalalgia : an international journal of headache》2008,28(6):605-608
We validated a German-language self-administered headache questionnaire for migraine (M), tension-type headache (TTH) and trigeminal autonomic cephalalgia (TAC) in a general population sample of people with headache. Randomly selected subjects ( n = 240) diagnosed by the questionnaire as M ( n = 60), TTH ( n = 60), a combination of M and TTH (M+TTH, n = 60) and TAC ( n = 60) were invited for examination by headache specialists. One hundred and ninety-three subjects (80%) were studied. Sensitivity and specificity for M were 0.85 and 0.85, for TTH 0.6 and 0.88, for M+TTH 0.82 and 0.87, respectively. Cohen's κ was 0.6 (95% confidence interval 0.50, 0.71). Of 45 patients with TAC according to the questionnaire, physicians diagnosed cluster headache in two patients only. We conclude: (i) the questionnaire can be used to diagnose M, TTH and M+TTH, but not TAC; (ii) screening questionnaires for epidemiological research should be validated in a general population sample but not in a tertiary headache clinic. 相似文献
14.
Ertas M Baykan B Orhan EK Zarifoglu M Karli N Saip S Onal AE Siva A 《The journal of headache and pain》2012,13(2):147-157
Several studies have shown that the prevalence of migraine and tension-type headache (TTH) varied between different geographical
regions. Therefore, there is a need of a nationwide prevalence study for headache in our country, located between Asia and
Europe. This nationwide study was designed to estimate the 1-year prevalence of migraine and TTH and analyse the clinical
features, the impact as well as the demographic and socio-economic characteristics of the participant households in Turkey.
We planned to investigate 6,000 representative households in 21 cities of Turkey; and a total of 5,323 households (response
rate of 89%) aged between 18 and 65 years were examined for headache by 33 trained physicians at home on the basis of the
diagnostic criteria of the second edition of the International Classification of Headache Disorders (ICHD-II). The electronically
registered questionnaire was based on the headache features, the associated symptoms, demographic and socio-economic situation
and history. Of 5,323 participants (48.8% women; mean age 35.9 ± 12 years) 44.6% reported recurrent headaches during the last
1 year and 871 were diagnosed with migraine at a prevalence rate of 16.4% (8.5% in men and 24.6% in women), whereas only 270
were diagnosed with TTH at a prevalence rate of 5.1% (5.7% in men and 4.5% in women). The 1-year prevalence of probable migraine
was 12.4% and probable TTH was 9.5% additionally. The rate of migraine with aura among migraineurs was 21.5%. The prevalence
of migraine was highest among 35–40-year-old women while there were no differences in age groups among men and in TTH overall.
More than 2/3 of migraineurs had ever consulted a physician whereas only 1/3 of patients with TTH had ever consulted a physician.
For women, the migraine prevalence was higher among the ones with a lower income, while among men, it did not show any change
by income. Migraine prevalence was lower in those with a lower educational status compared to those with a high educational
status. Chronic daily headache was present in 3.3% and the prevalence of medication overuse headache was 2.1% in our population.
There was an important impact of migraine with a monthly frequency of 5.9 ± 6, and an attack duration of 35.1 ± 72 h, but
only 4.9% were on prophylactic treatment. The one-year prevalence of migraine estimated as 16.4% was similar or even higher
than world-wide reported migraine prevalence figures and identical to a previous nation-wide study conducted in 1998, whereas
the TTH prevalence was much lower using the same methodology with the ICHD-II criteria. 相似文献
15.
Astrid Milde‐Busch PhD Astrid Blaschek MD Ingo Borggräfe MD Florian Heinen MD Andreas Straube MD Rüdiger Von Kries MD 《Headache》2010,50(7):1104-1114
(Headache 2010;50:1104‐1114) Background.— Diet and lifestyle are seen as factors which influence headache in adults. However, population‐based studies on this issue in adolescents are rare. Objective.— Aim of the present study was to investigate associations between diet and lifestyle factors and different types of headache, ie, migraine and tension‐type headache (TTH) in adolescents. Methods.— A total of 1260 adolescents from the 10th and 11th grades of high schools filled in questionnaires on intake of meals, coffee, nonalcoholic and alcoholic drinks, smoking, and physical activity. Type of headache was classified according to the International Classification of Headache Disorders – 2nd edition. Multiple logistic regression models, adjusted for sex and grade, were calculated. Results.— High consumption of cocktails (odds ratio = 3.4; 95% confidence interval 1.9‐6.0) and coffee (2.4; 1.3‐4.7), smoking (2.7; 1.4‐5.1), and lack of physical activity (2.2; 1.3‐3.7) were significantly associated with migraine plus TTH episodes, consumption of coffee and physical inactivity particularly with migraine (3.4; 1.6‐7.0 and 4.2; 2.2‐7.9, respectively) and physical inactivity with TTH (1.7; 1.1‐2.7). Skipping of meals or insufficient fluid intake were not associated with any type of headache. Conclusions.— Adolescents with any type of headache might benefit from regular physical activity and low consumption of alcoholic drinks, while for migraine patients a low consumption of coffee should additionally be recommended. Intervention studies are warranted to assess whether psycho‐educational programs conferring knowledge of these associations will influence headache‐triggering behavior and headache in adolescents. 相似文献
16.
Vlasta Vuković Davor Plavec Arijana Lovrenčić Huzjan Mislav Budišić Vida Demarin 《The journal of headache and pain》2010,11(3):227-234
The aim of this study was to assess the treatment patterns of migraine and tension-type headache in the Croatian population.
Analysis included the proportion of patients who were taking specific antimigraine therapy and the number of tablets per attack
per month, the proportion of patients who were taking prophylactic therapy or using alternative treatment methods and their
satisfaction with the treatment. The design of the study was a cross-sectional survey. Self-completed questionnaires were
randomly distributed to adults >18 years of age in the Croatian population. A total of 616 questionnaires were analyzed: 115
patients with migraine (M), 327 patients with tension-type headache (TTH), and 174 patients with probable migraine (PM) and
TTH. Specific antimigraine therapy was taken by half of patients with migraine: 35.7% of patients used triptans and 21.7%
ergotamines. Prophylactic treatment had been used by 13.9% of M, 1.2% of TTH, and 6.9% of PM patients. Alternative methods
of treatment were tried by 27% of M and TTH patients. Only 16.8% of patients with M pay regular visits to physicians, while
36.3% never visited a physician. More than half of TTH patients have never visited a physician. The majority of patients are
only partially satisfied with their current treatment, and almost one-third are not satisfied. Results of this study indicate
that the treatment of primary headaches in Croatia should be improved. 相似文献
17.
Kienbacher C Wöber C Zesch HE Hafferl-Gattermayer A Posch M Karwautz A Zormann A Berger G Zebenholzer K Konrad A Wöber-Bingöl C 《Cephalalgia : an international journal of headache》2006,26(7):820-830
We performed a long-term follow-up examination in children and adolescents with migraine and tension-type headache (TTH) in order to investigate the evolution of clinical features and headache diagnoses, to compare International Classification of Headache Disorders (ICHD)-I and ICHD-II criteria and to identify prognostic factors. We re-examined 227 patients (52.4% female, age 17.6 +/- 3.1 years) 6.6 +/- 1.6 years after their first presentation to a headache centre using identical semistructured questionnaires. Of 140 patients initially diagnosed with migraine, 25.7% were headache free, 48.6% still had migraine and 25.7% had TTH at follow-up. Of 87 patients with TTH, 37.9% were headache free, 41.4% still had TTH and 20.7% had migraine. The number of subjects with definite migraine was higher in ICHD-II than in ICHD-I at baseline and at follow-up. The likelihood of a decrease in headache frequency decreased with a changing headache location at baseline (P < 0.0001), with the time between baseline and follow-up (P = 0.0019), and with an initial diagnosis of migraine (P = 0.014). Female gender and a longer time between headache onset and first examination tended to have an unfavourable impact. In conclusion, 30% of the children and adolescents presenting to a headache centre because of migraine or TTH become headache-free in the long-term. Another 20-25% shift from migraine to TTH or vice versa. ICHD-II criteria are superior to those of ICHD-I in identifying definite migraine in children and adolescents presenting to a headache centre. The prognosis is adversely affected by an initial diagnosis of migraine and by changing headache location, and it tends to be affected by an increasing time between headache onset and first presentation. 相似文献
18.
Necdet Karl? Betül Baykan Mustafa Erta? Mehmet Zarifo?lu Aksel Siva Sabahattin Saip Güven ?zkaya Turkish Headache Prevalence Study Group 《The journal of headache and pain》2012,13(7):557-565
Sex hormones have some implications on headaches. The objective of the study was to investigate the effects of hormonal changes comparatively on tension-type headache (TTH) and migraine, in a population-based sample. A nationwide face-to-face prevalence study was conducted using a structured electronic questionnaire. 54.3 % of the migraineurs reported that the probability of experiencing headache during menstruation was high, whereas 3.9 % had headache only during menstruation. Forward logistic regression analysis revealed that menstruation was a significant trigger for migraine in comparison to TTH. On the other hand, nearly double the number of TTH sufferers reported “pure menstrual headache” compared to migraineurs (p = 0.02). Menstrual headaches caused significantly higher MIDAS grades. One-third of the definite migraineurs reported improvement during pregnancy and oral contraceptives significantly worsened migraine. Menopause had a slight improving effect on migraine compared to TTH. Sex hormonal changes have major impacts particularly on migraine; however, the effects of hormonal fluctuations on TTH should not be underestimated.
Electronic supplementary material
The online version of this article (doi:10.1007/s10194-012-0475-0) contains supplementary material, which is available to authorized users. 相似文献19.
Yoon MS Katsarava Z Obermann M Fritsche G Oezyurt M Kaesewinkel K Katsarova A Santowski I Diener H Moebus S 《The journal of headache and pain》2012,13(3):215-223
We investigated the prevalence of migraine (MIG), tension-type headache (TTH), and chronic headache in a population-based
sample in Germany. A total of 18,000 subjects aged between 18 and 65 years were screened from 2003 until 2005 using a validated
questionnaire. Overall 9,944 participants (55.2%) responded (mean age 43 ± 13.1 years, 52.7% women). Headache frequency <15 days/month
was reported by 5,350 (55.5%) subjects of whom 1,601 (16.6%, [95% confidence interval (95% CI): 15.9–17.4]) reported episodic
MIG, 1,202 (12.5%, 95% CI 11.8–13.1) episodic TTH, and 1,150 (11.9%, [11.3–12.6]) episodic MIG + episodic TTH, 1,396 (14.5%,
[13.8–15.2]) unclassifiable headache. In women, episodic MIG peaked between 36 and 40 years, episodic MIG + TTH between 18
and 35 years and episodic TTH between 56 and 66 years. In men, episodic MIG was predominant between 36 and 45 years, episodic
MIG + TTH between 26 and 35 years and episodic TTH showed comparable frequency between 36 and 66 years. Headache ≥15 days/month
was reported by 2.6% (n = 255, [95% CI 2.3–3]). Chronic MIG was reported by 1.1% (n = 108, [0.91–1.33]), chronic TTH (n = 50, [95% CI 0.4–0.7]), chronic MIG + TTH 0.8% (n = 74, 95% CI 0.6–0.9) and unclassifiable headache 0.2% (n = 23, [95% CI 0.1–0.3]). Chronic headache was more frequent in women compared to men with the highest prevalence between
46 and 65 years. It is of note that the number of subjects with chronic headache is small in all age groups. The results of
our large, population-based study provide reliable, age- and sex-specific estimates of the prevalence of primary headache
disorders in Germany. The prevalence with respect to episodic and chronic primary headache disorders in Germany is comparable
to other European countries and the USA. 相似文献
20.
Brett J. Theeler MD Kimbra Kenney MD Olga A. Prokhorenko MD Ulgen S. Fideli MSPH MSH PA‐C William Campbell MD Jay C. Erickson MD PhD 《Headache》2010,50(5):790-794
(Headache 2010;50:790‐794) Background.— Headaches can be triggered by a variety of factors. Military service members have a high prevalence of headache but the factors triggering headaches in military troops have not been identified. Objective.— The objective of this study is to determine headache triggers in soldiers and military beneficiaries seeking specialty care for headaches. Methods.— A total of 172 consecutive US Army soldiers and military dependents (civilians) evaluated at the headache clinics of 2 US Army Medical Centers completed a standardized questionnaire about their headache triggers. Results.— A total of 150 (87%) patients were active‐duty military members and 22 (13%) patients were civilians. In total, 77% of subjects had migraine; 89% of patients reported at least one headache trigger with a mean of 8.3 triggers per patient. A wide variety of headache triggers was seen with the most common categories being environmental factors (74%), stress (67%), consumption‐related factors (60%), and fatigue‐related factors (57%). The types of headache triggers identified in active‐duty service members were similar to those seen in civilians. Stress‐related triggers were significantly more common in soldiers. There were no significant differences in trigger types between soldiers with and without a history of head trauma. Conclusion.— Headaches in military service members are triggered mostly by the same factors as in civilians with stress being the most common trigger. Knowledge of headache triggers may be useful for developing strategies that reduce headache occurrence in the military. 相似文献