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Titolo:
Diagnosis of migraine: empirical analysis of a large clinical sample of atypical migraine (IHS 1.7) patients and proposed revision of the IHS criteria
Autore:
Rains, JC; Penzien, DB; Lipchik, GL; Ramadan, NM;
Indirizzi:
Elliot Hosp, Ctr Sleep Evaluat, Manchester, NH 03103 USA Elliot Hosp Manchester NH USA 03103 eep Evaluat, Manchester, NH 03103 USA Dartmouth Med Sch, Lebanon, NH USA Dartmouth Med Sch Lebanon NH USADartmouth Med Sch, Lebanon, NH USA UMC Head Pain Ctr, Jackson, MS USA UMC Head Pain Ctr Jackson MS USAUMC Head Pain Ctr, Jackson, MS USA Univ Mississippi, Med Ctr, Jackson, MS 39216 USA Univ Mississippi JacksonMS USA 39216 ppi, Med Ctr, Jackson, MS 39216 USA St Vincent Hlth Ctr, Pain Management Ctr, Erie, PA USA St Vincent Hlth Ctr Erie PA USA h Ctr, Pain Management Ctr, Erie, PA USA Eli Lilly & Co, Indianapolis, IN 46285 USA Eli Lilly & Co Indianapolis INUSA 46285 & Co, Indianapolis, IN 46285 USA Indiana Univ, Sch Med, Dept Neurol, Indianapolis, IN 46202 USA Indiana Univ Indianapolis IN USA 46202 Neurol, Indianapolis, IN 46202 USA
Titolo Testata:
CEPHALALGIA
fascicolo: 5, volume: 21, anno: 2001,
pagine: 584 - 595
SICI:
0333-1024(200106)21:5<584:DOMEAO>2.0.ZU;2-S
Fonte:
ISI
Lingua:
ENG
Soggetto:
INTERNATIONAL-HEADACHE-SOCIETY; TENSION-TYPE HEADACHE; NEAR-DAILY HEADACHES; PEDIATRIC MIGRAINE; CLASSIFICATION; ADOLESCENTS; POPULATION; CHILDHOOD; CHILDREN; EPIDEMIOLOGY;
Keywords:
headache; migraine; chronic daily headache; IHS; nosology;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
45
Recensione:
Indirizzi per estratti:
Indirizzo: Rains, JC Elliot Hosp, Ctr Sleep Evaluat, 1 Elliot Way, Manchester, NH 03103 USA Elliot Hosp 1 Elliot Way Manchester NH USA 03103 r, NH 03103 USA
Citazione:
J.C. Rains et al., "Diagnosis of migraine: empirical analysis of a large clinical sample of atypical migraine (IHS 1.7) patients and proposed revision of the IHS criteria", CEPHALALGIA, 21(5), 2001, pp. 584-595

Abstract

The International Headache Society (IHS) diagnostic criteria for headache improved the accuracy of primary headache diagnoses, including migraine. However, many migraineurs receive an 'atypical migraine' diagnosis according to the IHS nosology (IHS 1.7), indicating that they approximate but do not fully meet all II-IS criteria. This study characterized and sub-classified patients with atypical migraine. Within a clinical sample of 382 headache sufferers, 83 patients met IHS criteria for 'atypical migraine'. Patients receiving the IHS 1.7 designation did not converge to form a homogeneous group. Rather, distinct and clinically relevant subgroups were empirically derived (e.g. migraine with atypical pain parameters, brief migraine, chronic migraine). The results call for revisions of the IHS diagnostic criteria formigraine that would minimize the number of patients receiving an atypical diagnosis. Revisions would include decreasing the minimum headache durationcriteria from 4 h to 2 h, and developing a classification for 'chronic migraine' for migraine greater than 15 days per month. The proposed revision provides a means of diagnosing the daily and near-daily headache commonly observed in clinical populations.

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Documento generato il 29/11/20 alle ore 06:52:55