Prevalence of trigeminocervical convergence mechanisms in episodic and chronic migraine
BACKGROUND: Migraine pain location and trigeminocervical convergence have limited diagnostic value and have usually been assessed using non-standard verbal descriptors in a small number of centers.
OBJECTIVE: To use non-verbal descriptors of migraine pain location to determine the prevalence of trigeminocervical convergence mechanisms in patients with episodic and chronic migraine. In addition, we explored the factors associated with the presence of convergence.
METHODS: A multicenter study was carried out. The explicit pain location was explored by asking subjects to indicate, on an electronic form, three points on the anterolateral side and three points on the posterolateral side of the head and neck that represented the common locations of their migraine pain. We evaluated associations of the pain pattern with demographic and psychological features, comorbidities, lifestyle and other headache characteristics.
RESULTS: 97 episodic and 113 chronic migraine patients were included. Convergence was present in 116 migraineurs (55%) who indicated dominance of pain in the posterior cervical region. This site was more often involved in the chronic migraine group (21 vs. 33%; p=0.034). The number of migrainous/altered sensitivity symptoms (OR=1.39; 95%CI 1.14-1.71) was associated with convergence independently of the chronification status. In this symptom group, there were statistical associations between convergence and vomiting (p=0.045), tactile allodynia (p<0.001), nuchal rigidity (p<0.001) and movement allodynia (p=0.031).
CONCLUSIONS: Trigeminocervical convergence is common in migraineurs and, in practice, it might be found frequently in chronic migraineurs. Some features commonly found in this group, such as altered sensitivity symptoms, are associated with this phenomenon.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:80 |
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| Enthalten in: |
Arquivos de neuro-psiquiatria - 80(2022), 5 vom: 04. Mai, Seite 482-489 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Utiumi, Marco Antonio Takashi [VerfasserIn] |
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| Anmerkungen: |
Date Completed 01.07.2022 Date Revised 09.12.2022 published: Print Citation Status MEDLINE |
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| doi: |
10.1590/0004-282X-ANP-2021-0095 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM337710147 |
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| 100 | 1 | |a Utiumi, Marco Antonio Takashi |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Prevalence of trigeminocervical convergence mechanisms in episodic and chronic migraine |
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| 500 | |a Citation Status MEDLINE | ||
| 520 | |a BACKGROUND: Migraine pain location and trigeminocervical convergence have limited diagnostic value and have usually been assessed using non-standard verbal descriptors in a small number of centers | ||
| 520 | |a OBJECTIVE: To use non-verbal descriptors of migraine pain location to determine the prevalence of trigeminocervical convergence mechanisms in patients with episodic and chronic migraine. In addition, we explored the factors associated with the presence of convergence | ||
| 520 | |a METHODS: A multicenter study was carried out. The explicit pain location was explored by asking subjects to indicate, on an electronic form, three points on the anterolateral side and three points on the posterolateral side of the head and neck that represented the common locations of their migraine pain. We evaluated associations of the pain pattern with demographic and psychological features, comorbidities, lifestyle and other headache characteristics | ||
| 520 | |a RESULTS: 97 episodic and 113 chronic migraine patients were included. Convergence was present in 116 migraineurs (55%) who indicated dominance of pain in the posterior cervical region. This site was more often involved in the chronic migraine group (21 vs. 33%; p=0.034). The number of migrainous/altered sensitivity symptoms (OR=1.39; 95%CI 1.14-1.71) was associated with convergence independently of the chronification status. In this symptom group, there were statistical associations between convergence and vomiting (p=0.045), tactile allodynia (p<0.001), nuchal rigidity (p<0.001) and movement allodynia (p=0.031) | ||
| 520 | |a CONCLUSIONS: Trigeminocervical convergence is common in migraineurs and, in practice, it might be found frequently in chronic migraineurs. Some features commonly found in this group, such as altered sensitivity symptoms, are associated with this phenomenon | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Multicenter Study | |
| 700 | 1 | |a Küster, João Guilherme Bochnia |e verfasserin |4 aut | |
| 700 | 1 | |a Godk, Keryn Sporh |e verfasserin |4 aut | |
| 700 | 1 | |a Santos, Maria Luiza Dos |e verfasserin |4 aut | |
| 700 | 1 | |a Tan, Bin Cheng |e verfasserin |4 aut | |
| 700 | 1 | |a Mioto, Eldislei |e verfasserin |4 aut | |
| 700 | 1 | |a Kotsifas, Nikolai José Eustátios |e verfasserin |4 aut | |
| 700 | 1 | |a Canalli Filho, Luiz Carlos |e verfasserin |4 aut | |
| 700 | 1 | |a Colombani, Gabriel Eduardo Faria |e verfasserin |4 aut | |
| 700 | 1 | |a Kowacs, Pedro André |e verfasserin |4 aut | |
| 700 | 1 | |a Piovesan, Elcio Juliato |e verfasserin |4 aut | |
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