The prevalence and characteristics of migraine in a population-based cohort

Launer, Lenore J.; Terwindt, Gisela M.; Ferrari, Michel D.

doi:10.1212/wnl.53.3.537

Cited by 519 publications

(483 citation statements)

References 19 publications

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“…Most of the probable migraine cases were classifi ed as hemicranial, confi rming the fi ndings of Kelman 11 , and few of them were described as having an aura or had the diagnosis of a migraine with an aura, similar to what was verifi ed by Launer 12 .…”

Section: Discussionsupporting

confidence: 56%

Clinical features, diagnosis and treatment of acute primary headaches at an emergency center: why are we still neglecting the evidence?

Junior

Santos

Siqueira

et al. 2007

Arq. Neuro-Psiquiatr.

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-In order to analyze the clinical features, approach and treatment of patients with acute primary headaches seen at the Clinics Hospital of the Federal University of Uberlândia (HC-UFU) throughout 2005, the medical charts of 109 patients were evaluated through a standardized questionnaire as to age, gender, main diagnosis, characteristics of the headache attacks, diagnostic tests and treatment. Probable migraine was the most common type of primary headache (47.7%), followed by probable tension-type headache (37.6%), unspecified headache (11.9%), and headache not elsewhere classified (2.8%). As to characteristics of the crisis, the location of the pain was described in 86.2% of the patients. The most commonly used drugs for treatment of acute headache attacks were dipyrone (74.5%), tenoxicam (31.8%), diazepam (20.9%), dimenhydrate (10.9%), and metochlopramide (9.9%). The data collected are in agreement with those reported in literature. In most cases, treatment was not what is recommended by consensus or clinical studies with appropriate methodology. Therefore, we suggest the introduction of a specific acute headache management protocol which could facilitate the diagnosis, treatment and management of these patients.KEY WORDS: headaches, diagnostic approach, treatment. Características clínicas, diagnóstico e tratamento das cefaléias primárias agudas em um serviço de emergência. Por que ainda negligenciamos as evidências?RESUMO -Com o objetivo de avaliar as características clínicas, abordagem e tratamento das cefaléias agudas primárias atendidas no Hospital de Clínicas da Universidade Federal de Uberlândia (HC-UFU) no ano de 2005, 109 prontuários foram analisados através de questionário padronizado, segundo idade, sexo, diagnós-tico principal, características das crises, propedêutica e tratamento. A distribuição dos pacientes quanto ao tipo de cefaléia foi a seguinte: provável enxaqueca 47,7%, provável cefaléia tensional 37,6%, cefaléia não classificada 11,9% e cefaléia não classificada em outro local 2,8%. No que tange às características da crise, a localização da dor foi descrita em 86,2% dos pacientes. No tratamento dos pacientes com crise aguda de cefaléia, as drogas mais utilizadas foram: dipirona (74,5%), seguido de tenoxicam (31,8%), diazepam (20,9%), dramin ® (10,9%) e metoclopramida (9,9%). Os dados levantados são condizentes com os relatados na literatura. O tratamento efetuado, na maioria dos casos, não foi o recomendado por consensos ou estudos clíni-cos com metodologia aceitável. Recomendamos, portanto, a introdução de um protocolo específico para o atendimento das cefaléias agudas, o que facilitará o diagnóstico, tratamento e manejo destes pacientes.

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Section: Discussionsupporting

confidence: 56%

Clinical features, diagnosis and treatment of acute primary headaches at an emergency center: why are we still neglecting the evidence?

Junior

Santos

Siqueira

et al. 2007

Arq. Neuro-Psiquiatr.

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“…Some features of migraine, such as attack frequency, may vary depending upon whether the population is derived from a clinic or not. 1,3,20 There also may be differences between clinic and non-clinic populations in terms of other sources of sexual dysfunction. It is already known that sexual dysfunction increases with age in women.…”

Section: Discussionmentioning

confidence: 99%

Sexual dysfunction in women with migraine versus tension-type headaches: a comparative study

et al. 2011

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The aim of this study was to compare the incidence of sexual dysfunction between patients with tension-type headaches (T), migraines (M) and healthy controls (C) in order to investigate the relationship between sexual dysfunction and the features of headaches. The population comprised of 44 patients with M, 30 with T and 30 with C. They have completed Arizona Sexual Experiences Scale (ASEX), Visual Analog Scale. The number of sexual activities over the past 30 days and the frequency of masturbation behavior in C were considerably higher than those in the headache groups. The averages for ASEX item no. 1, 2, 3 and 4 were significantly higher in those with M versus C; and both the subscales and total scores of ASEX were also higher in those with T than C. The mean score for ASEX item no. 3 and the total ASEX score were significantly higher in T versus M. In both headache groups, no significant relationship was observed between headache features and ASEX. The present study showed that patients with either M or T do experience problems in several aspects of sexuality compared with C. Further research is essential to augment our understanding of the sexual dysfunction in this field.

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“…There are a large variety of the prevalence rates among community-based migraine prevalence studies. According to previous prevalence studies for migraine headache, estimates ranged from 1.5% to 33%, variations possibly originating from definitions and study design (Wong et al 1995;Launer et al 1999;Rasmussen 2001). These variations can be explained by differences in case definition, sociodemographic profiles of subjects,…”

mentioning

confidence: 99%

“…Onset of migraine is most commonly seen in the second and third decades of life and is infrequent after middle age. The prevalence of migraine increases until the fourth decade and then decreases with increasing age (Chen et al 1987;Henry et al 1992;Launer et al 1999;Rasmussen 2001). In other words migraine is more common in reproductive aged groups.…”

mentioning

confidence: 99%

Prevalence and Characteristics of Migraine in Women of Reproductive Age in Istanbul, Turkey: A Population Based Survey

Börü

Koçer

Lüleci

et al. 2005

Tohoku J. Exp. Med.

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Migraine is more common in female and onset of migraine is most commonly seen in the second and third decades of life. In this study, we aimed to estimate the prevalence and characteristics of migraine among women of ages between 15 to 45 years in Turkey. This is the first study to target this age group. The women were interviewed on a door-to-door basis, from early morning to late evening. Once responded positively to headache, an in-depth interview was performed questioning for migraine features. Diagnosis was made from a questionnaire by eight neurologists. One thousand eight hundred thirty five (1,835) out of 96,000 women living in Maltepe which is a town of Istanbul participated in this study. The prevalence of migraine in females aged 15-45 (reproductive ages) was 15.8% (95% CI, 0.142-0.176). This study showed that migraine onset occurred at a mean age of 22.7, 33% having family history, and with migraine with and without aura having near equal frequencies. The prevalence of migraine in women of reproductive ages in Istanbul as found in our study is lower than that reported in United States and Europe countries, but higher than that in Middle and Far Eastern countries. migraine; women of reproductive ages; prevalence; Turkey © 2005 Tohoku University Medical PressHeadache is one of the most common complaints of patients presented to physicians and migraine is a commonly seen headache form in general practice. To date, in order to determine the prevalence of migraine headache, many population-based studies have been performed using different data collection methods. There are a large variety of the prevalence rates among community-based migraine prevalence studies. According to previous prevalence studies for migraine headache, estimates ranged from 1.5% to 33%, variations possibly originating from definitions and study design (Wong et al. 1995;Launer et al. 1999;Rasmussen 2001). These variations can be explained by differences in case definition, sociodemographic profiles of subjects,

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The prevalence and characteristics of migraine in a population-based cohort

Abstract: The prevalence of migraine is higher then previously reported. The coexistence of migraine with and without aura occurs frequently and has implications for future studies on the genetics of migraine.

Cited by 519 publications

References 19 publications

Clinical features, diagnosis and treatment of acute primary headaches at an emergency center: why are we still neglecting the evidence?

Clinical features, diagnosis and treatment of acute primary headaches at an emergency center: why are we still neglecting the evidence?

Sexual dysfunction in women with migraine versus tension-type headaches: a comparative study

Prevalence and Characteristics of Migraine in Women of Reproductive Age in Istanbul, Turkey: A Population Based Survey

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