Abstract:
BACKGROUND:Borderline personality disorder (BPD) may be disproportionately common in the migraine patient population, but specific migraine features in the BPD subgroup remain incompletely characterized. PURPOSE:To define more clearly the clinical characteristics of migraine patients with BPD, to evaluate their clinical response to aggressive headache management, and to assess the sensitivity of an instrument intended to screen for the presence of BPD. METHODS:We evaluated 50 consecutive patients with migraine and previously documented BPD, 50 consecutive patients with migraine of all types and no history of BPD, and 50 patients with migraine and no history of BPD matched to the first group for age, gender, and headache frequency. We assessed a variety of demographic and clinical variables at baseline, and to all patients we administered the McLean Screening Instrument for Borderline Personality Disorder (MSI-BPD). Patients in Groups 1 and 3 were treated for their headaches via a uniform pharmacologic management program. Treatment outcome was assessed after 6 months. RESULTS:In this series of migraine patients, coexisting BPD was associated with female gender, more pervasive headache, more migraine-related disability, a higher prevalence of medication overuse headache, more unscheduled visits for acute migraine treatment, a higher prevalence of active, self-reported depression, and a lower likelihood of responding to pharmacologic therapy intended for headache management. The MSI-BPD was insensitive in detecting BPD. CONCLUSIONS:Migraine patients with coexisting BPD are clinically distinct from the migraine patient population as a whole; in particular, they are more severely affected by their headache disorder and more treatment refractory. Simple screening instruments used to detect BPD may be ineffective in the headache clinic setting.
journal_name
Headachejournal_title
Headacheauthors
Rothrock J,Lopez I,Zweilfer R,Andress-Rothrock D,Drinkard R,Walters Ndoi
10.1111/j.1526-4610.2007.00649.xsubject
Has Abstractpub_date
2007-01-01 00:00:00pages
22-6issue
1eissn
0017-8748issn
1526-4610pii
HED649journal_volume
47pub_type
杂志文章相关文献
HEADACHE文献大全abstract:OBJECTIVE:To determine the predictability of future migraine attacks and to describe the effect of migraine on daily life during and between migraine attacks. BACKGROUND:Migraine is associated with substantial economic and humanistic burden. There is growing evidence that early intervention with triptans results in be...
journal_title:Headache
pub_type: 杂志文章
doi:10.1111/j.1526-4610.2010.01630.x
更新日期:2010-09-01 00:00:00
abstract::Individual differences in pain sensitivity have long remained a perplexing and challenging clinical problem. How can one individual have a sensory experience that is vastly different than that of another, even when they have received similar sensory input? Developing an understanding of such differences and the mechan...
journal_title:Headache
pub_type: 杂志文章
doi:10.1111/j.1526-4610.2010.01763.x
更新日期:2010-10-01 00:00:00
abstract:OBJECTIVE:There has been a rise in urgent care centers throughout the country over the past 10 years, leading to an increase in patients accessing medical care in these locations. These centers advertise an alternative to the Emergency Department (ED) for the evaluation and treatment of urgent medical conditions. The g...
journal_title:Headache
pub_type: 杂志文章
doi:10.1111/head.13717
更新日期:2020-03-01 00:00:00
abstract::The recent publication of drug formularies by third-party payers has serious implications for the practice of medicine. These formularies list the medications for which the consumer can be reimbursed by the third-party payer. The most restrictive of the five formularies I have received lists only two agents for the tr...
journal_title:Headache
pub_type: 杂志文章
doi:10.1111/j.1526-4610.1995.hed3504225.x
更新日期:1995-04-01 00:00:00
abstract:OBJECTIVE AND BACKGROUND:Serotonergic mechanisms play an important role in the pathogenesis of headache. To search for potential indicators of altered serotonin homeostasis in migraine, we have investigated three parameters of the platelet serotonin (5HT) system, platelet serotonin level (PSL), platelet serotonin uptak...
journal_title:Headache
pub_type: 杂志文章
doi:10.1046/j.1526-4610.2002.02145.x
更新日期:2002-07-01 00:00:00
abstract::Recent research on headache has focused on identifying the prevalence of psychiatric disorders in headache patients and discerning the impact of psychiatric comorbidity on treatment of headache. The presence of comorbid psychiatric disorders, especially anxiety and depression, in headache patients is now a well-docume...
journal_title:Headache
pub_type: 杂志文章,评审
doi:10.1111/j.1526-4610.2006.00563.x
更新日期:2006-10-01 00:00:00
abstract::The Kimmerle anomaly may be associated with a variety of neurological symptoms. We sought to determine the prevalence and character of these symptoms in a large cohort of afflicted patients. ...
journal_title:Headache
pub_type: 杂志文章
doi:10.1046/j.1526-4610.2002.02213.x
更新日期:2002-10-01 00:00:00
abstract:BACKGROUND:The buildup time of migraine headaches has not been well delineated in publications to date and we are aware of patients whose migraines last well over 72 hours. More concentration on these factors in the assessment of patients might lead to more appropriate therapeutic choices. METHOD:Prospective ascertain...
journal_title:Headache
pub_type: 杂志文章
doi:10.1111/j.1526-4610.2006.00608.x
更新日期:2006-11-01 00:00:00
abstract:PREMISE:Trigeminal neuralgia is a severe facial pain disorder that has been studied for decades. Classical trigeminal neuralgia (CTN) is either idiopathic or caused by neurovascular compression. The related painful trigeminal neuropathies are often secondary to other causes, such as multiple sclerosis or trauma. PROBL...
journal_title:Headache
pub_type: 杂志文章,评审
doi:10.1111/head.13166
更新日期:2017-11-01 00:00:00
abstract::Headache is a common disorder in the general population. It is often highly debilitating for the people affected and highly costly to society. Although we know much about primary headaches, little is known about secondary headaches which, however,are a frequent occurrence in the general population. A study conducted o...
journal_title:Headache
pub_type: 杂志文章,评审
doi:10.1111/j.1526-4610.2009.01390.x
更新日期:2009-05-01 00:00:00
abstract::We performed greater occipital nerve blocks on 24 migraineurs with unilateral migraine and trigeminal nerve distribution allodynia. Using a visual analog scale for migraine pain, brush allodynia in the trigeminal nerve distribution and photophobia were reduced 64%, 75%, and 67%, respectively, after 5 minutes. Allodyni...
journal_title:Headache
pub_type: 杂志文章
doi:10.1111/j.1526-4610.2008.01146.x
更新日期:2008-07-01 00:00:00
abstract::A case is reported in which a patient with sexual and orgasmic headaches was treated successfully with a calcium channel blocker, diltiazem. To the best of our knowledge, this is the first case of successful treatment of sexual headaches with calcium channel blockers reported in the English medical literature. The lit...
journal_title:Headache
pub_type: 杂志文章,评审
doi:10.1111/j.1526-4610.1991.hed3103141.x
更新日期:1991-03-01 00:00:00
abstract:BACKGROUND:The pathophysiology of chronic migraine (CM) is not fully understood. We aimed to examine transcranial magnetic stimulation (TMS) indices of cortical excitability in patients with CM and also performed PET studies to ascertain if there were any areas of activation and inhibition for possible correlation. ME...
journal_title:Headache
pub_type: 杂志文章
doi:10.1111/j.1526-4610.2007.00853.x
更新日期:2007-07-01 00:00:00
abstract:OBJECTIVE:To determine the effect of a sympathetic block at C7 on cluster headache. BACKGROUND:Eleven patients presenting to a pain control unit with cluster headache were included in the study after giving informed consent. METHODS:In all patients, a mixture of 5 mL of 0.5% bupivacaine hydrochloride and 1 cc of meth...
journal_title:Headache
pub_type: 杂志文章
doi:10.1111/j.1526-4610.2004.04038.x
更新日期:2004-02-01 00:00:00
abstract:OBJECTIVE:To evaluate the impact of the introduction of the International Headache Society (IHS) criteria on the use of neuroimaging for headache diagnosis in a specialist outpatient center. BACKGROUND:The general indications for neuroimaging in headache are a matter of debate. International Headache Society criteria ...
journal_title:Headache
pub_type: 杂志文章
doi:10.1046/j.1526-4610.1999.3910747.x
更新日期:1999-11-01 00:00:00
abstract::The efficacy of the repetitive intravenous dihydroergotamine (DHE) inpatient protocol for refractory headache is well established. We conducted a retrospective and prospective study of long-term headache patients at our clinic to evaluate this regimen in an outpatient setting. Treatment consisted of oral metoclopramid...
journal_title:Headache
pub_type: 杂志文章
doi:10.1111/j.1526-4610.1992.hed3209455.x
更新日期:1992-10-01 00:00:00
abstract:BACKGROUND:Hypnic headache (HH) is a rare primary headache characterized by strictly sleep-related headache attacks. METHODS:This paper reviews the pertinent literature on HH. RESULTS:Disease information is mainly based on case reports and small case series (around 250 cases) published since its first description in ...
journal_title:Headache
pub_type: 杂志文章,评审
doi:10.1111/head.12447
更新日期:2014-10-01 00:00:00
abstract::This study examined the relationship between the menstrual cycle, the stress process, and migraines. Women migraineurs (N = 12) and a matched control sample (N = 12) completed a set of questionnaires assessing stress, appraisal, and coping at premenses, menses, and ovulation. In addition, migraineurs completed a month...
journal_title:Headache
pub_type: 杂志文章
doi:10.1046/j.1526-4610.1996.3609531.x
更新日期:1996-10-01 00:00:00
abstract::The majority of research conducted on headache has utilized cross-sectional designs which preclude the examination of dynamic factors and principally rely on group-level effects. The present article describes the application of an individual-oriented process model using time-series analytical techniques. The blending ...
journal_title:Headache
pub_type: 杂志文章
doi:10.1111/j.1526-4610.2005.05095.x
更新日期:2005-05-01 00:00:00
abstract::While headache is a documented side effect of electroconvulsive therapy (ECT), there is little information on this phenomenon. Studies of the mechanisms of ECT as a treatment for depression indicate that alterations in serotonergic neurotransmission appear to be related to its efficacy. While ECT and many of the antid...
journal_title:Headache
pub_type: 杂志文章
doi:10.1111/j.1526-4610.1994.hed3403155.x
更新日期:1994-03-01 00:00:00
abstract:OBJECTIVE:Ophthalmoplegic migraine (OM) is a rare disorder characterized by recurrent oculomotor nerve palsy in children, following migraine headaches. We report 62 adults, seen consecutively, who developed acute ophthalmoplegia with severe attacks of migraine over a 10-year (1996-2005) period. An overwhelming majority...
journal_title:Headache
pub_type: 杂志文章
doi:10.1111/j.1526-4610.2009.01405.x
更新日期:2009-06-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Certain neuromodulators, most notably topiramate (TPM) and divalproex sodium (DVP), are effective preventive agents for migraine. Published data from head-to-head studies comparing TPM and DVP are not available. The purpose of this study was to compare TPM and DVP for the prophyaxis of migrain...
journal_title:Headache
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1111/j.1526-4610.2011.01868.x
更新日期:2011-04-01 00:00:00
abstract::This is a case report of a 15-year-old boy who developed benign intracranial hypertension after 3 weeks of levofloxacin intake. The headache, diplopia, and papilledema resolved within a week after levofloxacin was withdrawn. Physicians must be aware that quinolone antibiotics can potentially cause intracranial hyperte...
journal_title:Headache
pub_type: 杂志文章
doi:10.1111/j.1526-4610.2008.01212.x
更新日期:2009-02-01 00:00:00
abstract::Migraine affects nearly 12% of the adult population in the United States and causes significant lost productivity and decrements in health-related quality of life. The burden of migraine and the challenge in managing it are increased by the comorbid psychiatric conditions that occur in association with it. Studies in ...
journal_title:Headache
pub_type: 杂志文章
doi:10.1111/j.1526-4610.2006.00576.x
更新日期:2006-10-01 00:00:00
abstract::Long-lasting severe headaches are reported to occur in up to 83% of patients who have undergone resection of acoustic neuroma, especially through a suboccipital approach. These headaches, however, are not well defined. The objective of this study was to assess the frequency and character of new-onset headaches after r...
journal_title:Headache
pub_type: 杂志文章
doi:10.1046/j.1526-4610.1999.3902089.x
更新日期:1999-02-01 00:00:00
abstract:OBJECTIVES:To compare the relative tolerability of 5-HT1B/1D agonists and to investigate the relationships (if any) among systemic exposure, lipophilicity, and clinical tolerability for 5-HT1B/1D agonists. METHODS:Post hoc correlations were sought among the following variables: absolute dose (= administered dose x ora...
journal_title:Headache
pub_type: 杂志文章
doi:
更新日期:2000-07-01 00:00:00
abstract::Eighty-eight children and adolescents were prospectively evaluated at eight specialty clinics comparing the diagnostic criteria of the International Headache Society (IHS) and the proposed revised (IHS-R) classification to the clinical diagnosis. The proposed revisions to the IHS classification for pediatric migraine ...
journal_title:Headache
pub_type: 杂志文章,多中心研究
doi:10.1046/j.1526-4610.1997.3709545.x
更新日期:1997-10-01 00:00:00
abstract:OBJECTIVES/BACKGROUND:We herein investigated the role of polymorphisms in calcitonin gene-related peptide (CGRP)-related genes looking at the association of rs3781719 (T > C) in the calcitonin gene-related polypeptide-alpha (CALCA) gene and of rs3754701 (T > A) and rs7590387 (C > G) at the receptor activity modifying 1...
journal_title:Headache
pub_type: 杂志文章
doi:10.1111/head.12559
更新日期:2015-05-01 00:00:00
abstract::Biomarkers are physical signs or laboratory measurements that occur in association with a pathological process and have putative diagnostic and/or prognostic utility. In migraine, clinical, radiological, and biochemical biomarkers might be helpful to improve diagnosis, get insight in pathophysiology, and facilitate tr...
journal_title:Headache
pub_type: 杂志文章,评审
doi:10.1111/j.1526-4610.2006.00499.x
更新日期:2006-07-01 00:00:00
abstract::Abnormalities in autonomic control have been documented in migraine even during the headache-free interval. It has long been recognized that spectral analysis of heart rate (HR) fluctuations can reflect the autonomic function, especially the sympathetic to parasympathetic balance. This technique is the basis for a qua...
journal_title:Headache
pub_type: 杂志文章
doi:10.1111/j.1526-4610.1994.hed3410569.x
更新日期:1994-11-01 00:00:00