Neck pain in episodic migraine: premonitory symptom or part of the attack?

The Journal of Headache and Pain

Research Article

Christina I. Deligianni¹  Dimos D. Mitsikostas¹  Mirjam Rudolph²  Christian Lampl² 

[1] Department of Neurology, Athens Naval Hospital, 11521, Athens, Greece;Medical Headache Center, Hospital Sisters of Mercy, Seilerstaette Linz, 4020, Linz, Austria;

关键词: Migraine;    Neck Pain;    Migraine Attack;    Migraine With Aura;    Migraine Without Aura;   

DOI  :  10.1186/s10194-015-0566-9

 received in 2015-08-12, accepted in 2015-08-21,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundWhether neck pain (NP) is a prodromal migraine symptom or belongs to the migraine attack feature remains controversial.MethodsIn order to prospectively record neck pain (NP) and non-headache symptoms and to evaluate the percentage of patients having NP as clear premonitory, non-headache symptom of their migraine, a specific self fulfilled questionnaire was designed to record NP and premonitory symptoms in a migraine cohort. All patients who reported NP anytime during the migraine phase were allocated to 3 groups: A = NP starts with the onset of headache; B = NP starts < 2 h before the onset of headache; C = NP starts 2-48 h before the onset of headache.ResultsData were evaluated from 487 migraineurs with episodic migraine (73.1 % females; 77 % had migraine without aura). 338 patients (69.4 %) reported NP anytime during the migraine phase. 184 patients (group A; 54.4 %) noticed NP with the start of the headache phase; 118 patients (group B; 24.2 %) reported NP within 2 h before the headache phase; 36 patients (group C; 7.4 %) experienced NP 2-48 h before the headache phase. In group B we found a high proportion of typical migraine associated symptoms and NP progressed into the headache phase in 82.2 %.ConclusionsThese data indicate that NP is a very common feature of migraine attacks and is more likely to be part of the migraine attack than a prodromal migraine symptom.

【 授权许可】

CC BY   
© Lampl et al. 2015