scholarly journals Visual Field Losses in Patients with Migraine without Aura and Tension-Type Headache

2017 ◽  
Vol 41 (2) ◽  
pp. 59-67 ◽  
Author(s):  
Arif Ü. Yener ◽  
Osman Korucu
Cephalalgia ◽  
2021 ◽  
pp. 033310242110292
Author(s):  
Isabella Neri ◽  
Daniela Menichini ◽  
Francesca Monari ◽  
Ludovica Spanò Bascio ◽  
Federico Banchelli ◽  
...  

Objective This study aims to investigate pregnancy and perinatal outcomes in women with tension-type headache, migraine without aura and migraine with aura by comparing them to women without any headache disorders. Study design Prospective cohort study including singleton pregnancies attending the first trimester aneuploidy screening at the University Hospital of Modena, in Northern Italy, between June 2018 and December 2019. Results A total of 515 consecutive women were included and headache disorders were reported in 43.5% of them (224/515). Tension-type headache was diagnosed in 24.3% of the cases, while 14% suffered from migraine without aura and 5.2% from migraine with aura. Birthweight was significantly lower in women affected by migraine with aura respective to other groups, and a significantly higher rate of small for gestational age infants was found in tension-type headache (10.4%) and in migraine with aura (24.9%) groups respective to the others (p < 0.001). Moreover, the admission to the neonatal intensive care unit was significantly higher in all the headache groups (p = 0.012). Multivariate analysis showed that women presenting tension-type headache (OR 4.19, p = 0.004), migraine with aura (OR 5.37, p = 0.02), a uterine artery pulsatility index >90th centile (OR 3.66, p = 0.01), low multiple of the median (MoM) of Pregnancy-associated plasma protein-A (PAPP-A) (OR 0.48, p = 0.05) and high MoM of Inhibin-A (OR 3.24, p = 0.03) at first trimester, are independently associated with the delivery of small for gestational age infants when compared to women without headache disorders. Conclusion Migraine with aura and tension type headache expose women to an increased risk of delivering small for gestational age infants, in association with some utero-placenta markers evaluated at first trimester. These women with headache disorders have an additional indication to undergo first trimester aneuploidy screening and would possibly benefit from specific interventions.


Cephalalgia ◽  
2001 ◽  
Vol 21 (1) ◽  
pp. 53-60 ◽  
Author(s):  
G Lanzi ◽  
CA Zambrino ◽  
O Ferrari-Ginevra ◽  
C Termine ◽  
S D'Arrigo ◽  
...  

We evaluate personality traits, anxiety and depression in a population of paediatric and adolescent patients, correlating personality characteristics with headache and sociodemographic variables. The clinical features of headache include specific personality traits. We report a clinical study of 57 patients (age 8–18 years), divided up as follows: 12 migraine with aura, 29 migraine without aura and 16 tension-type headache. One of Cattel's tests was administered to every patient; the Children's Depression Inventory test was administered to 53 patients and the Test Anxiety Inventory test to 43 subjects. The scores obtained by every patient in each test were correlated with the characteristics of headache and with sociodemographic data. We found that patients affected by idiopathic headache share some personality traits, mainly emotional rigidity and tendency to repress anger and aggression. These traits do not seem to be correlated with sociodemographic data and the duration of headache: we considered these as characteristic of migrainous patients.


PeerJ ◽  
2017 ◽  
Vol 5 ◽  
pp. e3556 ◽  
Author(s):  
Behrouz Alizadeh Savareh ◽  
Ali Ghanjal ◽  
Azadeh Bashiri ◽  
Monireh Motaqhey ◽  
Boshra Hatef

Introduction Different types of headaches and TMJ click influence the masseter muscle activity. The aim of this study was to assess the trend of energy level of the electromyography (EMG) activity of the masseter muscle during open-close clench cycles in migraine without aura (MOA) and tension-type headache (TTH) with or without TMJ click. Methods Twenty-five women with MOA and twenty four women with TTH participated in the study. They matched with 25 healthy subjects, in terms of class of occlusion and prevalence of temporomandibular joint (TMJ) with click. The EMG of both masseter muscles were recorded during open-close clench cycles at a rate of 80 cycles per minute for 15 seconds. The mouth opening was restricted to two centimeters by mandibular motion frame. Signal processing steps have been done on the EMG as: noise removing, smoothing, feature extraction, and statistical analyzing. The six statistical parameters of energy computed were mean, Variance, Skewness, Kurtosis, and first and second half energy over all signal energy. Results A three-way ANOVA indicated that during all the cycles, the mean of energy was more and there was a delay in showing the peak of energy in the masseter of the left side with clicked TMJ in MOA group compared to the two other groups, while this pattern occurred inversely in the side with no-clicked TMJ (P < 0.009). The variation of energy was significantly less in MOA group compared to the two other groups in the no-clicked TMJ (P < 0.003). However, the proportion of the first or second part of signal energy to all energy showed that TTH group had less energy in the first part and more energy in the second part in comparison to the two other groups (P < 0.05). Conclusion The study showed different changes in the energy distribution of masseter muscle activity during cycles in MOA and TTH. MOA, in contrast to TTH, had lateralization effect on EMG and interacted with TMJ click.


Cephalalgia ◽  
2019 ◽  
Vol 40 (4) ◽  
pp. 337-346 ◽  
Author(s):  
Alberto Terrin ◽  
Federico Mainardi ◽  
Carlo Lisotto ◽  
Edoardo Mampreso ◽  
Matteo Fuccaro ◽  
...  

Background In literature, osmophobia is reported as a specific migrainous symptom with a prevalence of up to 95%. Despite the International Classification of Headache Disorders 2nd edition proposal of including osmophobia among accompanying symptoms, it was no longer mentioned in the ICHD 3rd edition. Methods We conducted a prospective study on 193 patients suffering from migraine without aura, migraine with aura, episodic tension-type headache or a combination of these. After a retrospective interview, each patient was asked to describe in detail osmophobia, when present, in the following four headache attacks. Results In all, 45.7% of migraine without aura attacks were associated with osmophobia, 67.2% of migraineurs reported osmophobia in at least a quarter of the attacks. No episodic tension-type headache attack was associated with osmophobia. It was associated with photophobia or phonophobia in 4.3% of migraine without aura attacks, and it was the only accompanying symptom in 4.7% of migraine without aura attacks. The inclusion of osmophobia in the ICHD-3 diagnostic criteria would enable a 9.0% increased diagnostic sensitivity. Conclusion Osmophobia is a specific clinical marker of migraine, easy to ascertain and able to disentangle the sometimes challenging differential diagnosis between migraine without aura and episodic tension-type headache. We recommend its inclusion among the diagnostic criteria for migraine as it increases sensitivity, showing absolute specificity.


Cephalalgia ◽  
1998 ◽  
Vol 18 (8) ◽  
pp. 565-569 ◽  
Author(s):  
M Siniatchkin ◽  
W-D Gerber ◽  
P Kropp ◽  
A Vein

The aim of this study was the investigation of amplitude and habituation of contingent negative variation (CNV) in migraine and chronic daily headache (CDH) patients in order to describe possible neurophysiological features responsible for the clinical transformation and worsening of the headache. Fifteen females suffering from migraine without aura and 15 females diagnosed with CDH evolved from migraine without aura with interparoxysmal chronic tension-type headache (transformed migraine), underwent CNV recording. Fifteen healthy females matched for age served as controls. CNV was obtained from C3 and C4 using the standard reaction time paradigm and 3 sec ISI. The amplitudes and habituation of total CNV, early and late components, and of post-imperative negative variation (PINV) were calculated. The migraine patients were characterized by significantly more pronounced negativity of the early component and total CNV, compared to CDH sufferers and controls. CDH patients demonstrated significantly reduced negativity of the late component and pronounced PINV compared to the other groups. The early component of CNV did not habituate in migraine or CDH patients. However, the impaired habituation in CDH was related to significantly lower amplitudes. These results support the diagnostic and scientific value of habituation in migraine research and therapy. Late components of CNV and PINV can be considered as predictive variables for transformation of migraine. The results are discussed in terms of the relationship between late CNV, PINV, environment control abilities and susceptibility for development of depression.


Cephalalgia ◽  
2001 ◽  
Vol 21 (7) ◽  
pp. 778-780 ◽  
Author(s):  
MB Russell

This review is a tribute to Professor Jes Olesen involvement in the genetics of migraine and tension-type headache as it is coming up to his 60th birthday.


e-CliniC ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Kezia Oroh ◽  
Junita M. Pertiwi ◽  
Theresia Runtuwene

Abstract: The aim of this research is to get a description of smart phone usage as a factor of primary headache to the students of medical faculty year 2013 Sam Ratulangi Unifersity of Manado. This research is a kind of descriptive research by approach of latitude cut. Received data are from primary data using questioner. From 243 of the total respondent there are 72 male respondents and 171 female respondents, with the percentages of each primary headache as follows: tension-type headache 72.84%, migraine without aura 17.28%, migraine with aura 8.64% and cluster headache 1.23%. The most usage feature of the smart phone user is social media (40.16%). The length of smart phone usage is 5 to 7 hours a day (47.33%). 64.61% of the respondents that using a smart phone experienced an eye ache. 48.98% of the respondents are those who do physic activities less than two times during fifteen minutes or more in one week. 48.56% of the respondents are using the smart phones with 30 degree neck declivity. Respondents who are using smart phones experienced tension-type headache is 75.71%, migraine without aura 16.43% , migraine with aura 7.15% and cluster headache 0.71%.Keywords: primary headache, smart phones Abstrak: Penelitian ini bertujuan untuk mendapatkan gambaran penggunaan ponsel pintar sebagai faktor risiko nyeri kepala primer pada mahasiswa angkatan 2013 fakultas kedokteran Universitas Sam Ratulangi. Jenis penelitian ini deskriptif dengan pendekatan potong lintang. Data yang didapat melalui data primer menggunakan kuesioner. Dari total 243 responden, diperoleh 72 responden laki-laki dan 171 responden perempuan, dengan presentase untuk setiap jenis nyeri kepala primer adalah sebagai berikut: nyeri kepala tipe tegang 72.84%, migren tanpa aura 17.28%, migren dengan aura 8.64% dan nyeri kepala klaster 1.23%. Fitur yang sering digunakan pada ponsel pintar adalah sosial media (40.16%). Lama penggunaan ponsel pintar 5-7 jam dalam sehari (47.33%). 64.61% dari responden yang menggunakan ponsel pintar terdapat keluhan mata. 48.98% dari responden adalah mereka yang melakukan aktivitas fisik < 2x selama > 15 menit dalam seminggu. 48.56% responden menggunakan ponsel pintar dengan kemiringan leher 30o. Responden yang menggunakan ponsel pintar dan mengeluhkan nyeri kepala tipe tegang 75.71%, migren tanpa aura 16.43%, migren dengan aura 7.15% dan klaster 0.71%. Kata kunci: nyeri kepala primer, ponsel pintar


Cephalalgia ◽  
2003 ◽  
Vol 23 (1) ◽  
pp. 35-38 ◽  
Author(s):  
I Milanov ◽  
D Bogdanova

Neurophysiological studies have shown abnormal activity of some brainstem nuclei in headache patients. The trigemino-cervical reflex is an anti-nociceptive reflex that gives an opportunity for evaluation of the brainstem interneurone activity. It has not been previously examined in headache patients. We studied 15 patients with predominantly unilateral chronic tension-type headache, 15 patients with migraine without aura and 32 healthy subjects. The trigemino-cervical reflex was recorded bilaterally from the resting sterno-cleidomastoid muscle using surface electromyographic recordings. In all headache patients the trigemino-cervical reflex on the painful side was with shortened latency compared with the non-painful side and with healthy persons. The results suggest decreased activity of the brainstem inhibitory interneurones. We suggest that although the pathophysiological mechanisms of tension-type headache and migraine are different, they share common mechanisms of abnormal pain control.


Cephalalgia ◽  
2007 ◽  
Vol 27 (9) ◽  
pp. 1061-1068 ◽  
Author(s):  
G Zanchin ◽  
F Dainese ◽  
M Trucco ◽  
F Mainardi ◽  
E Mampreso ◽  
...  

Intolerance to smell is often reported by migraine patients. This study evaluates osmophobia in connection with the diagnosis of migraine and episodic tension-type headache (ETTH). The characteristics of this symptom are also investigated. We recruited from our Headache Centre 1005 patients (772 female, 233 male; age 37 ± 11 years), of whom 677 were migraine without aura (MoA), 130 migraine with aura (MA) and 198 TTH. Patients with two or more forms of primary headache were excluded. Among migraine patients, 43.9% with MoA and 38.5% with MA reported osmophobia during the attacks; none of the 198 TTH patients suffered this symptom. Most frequently offending odours were scents (63.9%), food (55.2%) and cigarette smoke (54.8%). Osmophobia appears structurally integrated into the migraine history of the patient. It seems to be a peculiar symptom favouring the diagnosis of migraine (MoA and MA) in the differential diagnosis with ETTH.


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