Characteristics of Headache in Migraine Without Aura and Episodic Tension-Type Headache in The Turkish Population According to the IHS Classification

Inan, LE; Tulunay, F. Cankat; Güvener, A.; Tokgöz, Güner; İnan, Nurten

doi:10.1046/j.1468-2982.1994.1402171.x

Cited by 18 publications

(16 citation statements)

References 12 publications

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“…Aggravation by routine physical activity was reported to be in the ratio of 96% in the mentioned study. Our results (throbbing 96.6%, unilaterality 49.2% in patients with MWOA) are very different to this study (5), probably because of the difference between the study populations.…”

Section: Discussioncontrasting

confidence: 99%

“…Migraine is commonly unilateral, pulsating, moderate to severe in intensity, and is associated with nausea, photophobia and phonophobia. In a previous study performed in migraine patients without aura appling to an university hospital in Turkey (5), 58% had pain of pulsating quality, 74% had unilateral pain. Aggravation by routine physical activity was reported to be in the ratio of 96% in the mentioned study.…”

Section: Discussionmentioning

confidence: 93%

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Epidemiological and Clinical Characteristics of Migraine and Tension Type Headache in 1146 Females in Kayseri, Turkey

et al. 2003

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In a female population of Turkey (1146 adult females), some epidemiological and clinical characteristics of migraine and tension type headache and their subtypes were investigated. The relation of the headache severity to clinical characteristics were inquired. Migraine prevalence was found to be statistically higher in the 35-44 years age group (P < 0.01) and those who were university graduates (P < 0.001), married (P < 0.01) and living in urban areas (P < 0.01). Tension type headache was found to be higher in the 45-64 years age group (P < 0.05). Chronic tension type headache patients were found to be older than episodic type (P < 0.01) and frequently were in the lowest education level (P < 0.05). Presence of impact on daily activities because of the severity of headache was found to be related to aggravation by physical activities (P = 0.001) in tension type headache, with no clinical characteristics in migraine headache and on consideration of all headache patients with throbbing nature (P < 0.05), aggravation on physical activities (P = 0.001), nausea (P < 0.01), vomiting (P < 0.05) and phonophobia (P < 0.05).

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 93%

Epidemiological and Clinical Characteristics of Migraine and Tension Type Headache in 1146 Females in Kayseri, Turkey

et al. 2003

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“…Unilateral location had high Sp – 88%, but low Se – 27%. Low Se of this item in children and adolescents was also established in other studies (6,16,18,19,25,37), in contrast with higher Se (53–74%) in adults (21,38–40). That is why unilateral location was confirmed as diagnostic item in criterion C for migraine in adults in ICHD – II (23).…”

Section: Discussionsupporting

confidence: 72%

Evaluation of diagnostic and prognostic value of clinical characteristics of Migraine and Tension type headache included in the diagnostic criteria for children and adolescents in International Classification of Headache Disorders - second edition

Pacheva

Milanov

Ivanov

et al. 2012

International Journal of Clinical Practice

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Summary Data about the sensitivity and the specificity of the items included in the diagnostic criteria for migraine and tension type headache (TTH) in children is limited and sometimes controversial. Aim: To evaluate the diagnostic value of characteristics of migraine and TTH included in the diagnostic criteria of ICHD–II and according to results to suggest additional criteria for diagnostic differentiation of primary paediatric headache. Patients and methods: The investigation consisted of an epidemiological school‐based study (1029 pupils completed the study and 412 had chronic or recurrent headache) and a clinical study conducted in Paediatric Neurology Ward and outpatient clinic (203 patients with chronic or recurrent headache). Inclusion criterion was at least two episodes of headache during the last year. Exclusion criteria were: headache occurring only during acute infections; withdrawal of informed consent. ICHD – II was used to classify headache. The diagnostic value of characteristics of migraine and TTH was measured using sensitivity, specificity, odds ratio and area under receiver operating characteristic curve (AUC). Results: Regarding the AUC, the best diagnostic items for migraine are: moderate or severe intensity or only severe intensity, pain aggravation by physical activity, pulsating quality, respectively, for TTH – no photophobia, no nausea, no aggravation by physical activity, mild or moderate intensity and non‐pulsating quality. The most significant symptom for increasing the migraine risk was pulsating pain and the most significant items for TTH risk were no photophobia, bilateral location and no nausea. Family history of migraine also increased migraine risk and could be either included in the diagnostic criteria for migraine or recommended as additional item in differentiating migraine and TTH with overlapping diagnostic criteria. According to AUC, we could recommend changing the content of the item of intensity for migraine as only severe intensity.

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“…However, headache duration may also vary because of study designs as some studies reported durations with treatment and others without. In addition, as mentioned by Inan and colleagues, 22 one also has to consider that there are educational and cultural differences in the investigated populations, which may affect the individual description of headache duration and therefore make comparison difficult.…”

Section: Discussionmentioning

confidence: 99%

Migraine Attack Frequency, Duration, and Pain Intensity: Disease Burden Derived From a Community-Based Survey in Northern Tanzania

Dent

Stelzhammer²,

Meindl³

et al. 2011

Headache: The Journal of Head and Face Pain

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Characteristics of Headache in Migraine Without Aura and Episodic Tension-Type Headache in The Turkish Population According to the IHS Classification

Cited by 18 publications

References 12 publications

Epidemiological and Clinical Characteristics of Migraine and Tension Type Headache in 1146 Females in Kayseri, Turkey

Epidemiological and Clinical Characteristics of Migraine and Tension Type Headache in 1146 Females in Kayseri, Turkey

Evaluation of diagnostic and prognostic value of clinical characteristics of Migraine and Tension type headache included in the diagnostic criteria for children and adolescents in International Classification of Headache Disorders - second edition

Migraine Attack Frequency, Duration, and Pain Intensity: Disease Burden Derived From a Community-Based Survey in Northern Tanzania

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