The use of questions to determine the presence of photophobia and phonophobia during migraine.

Abstract:

OBJECTIVE:To investigate whether the use of more detailed close-ended questions as part of the routine headache history is helpful when patients initially deny that they are sensitive to light and noise during migraine headaches. BACKGROUND:According to the International Headache Society 2004 criteria, the diagnosis of migraine requires the presence of at least one of the following during a headache: (1) nausea and/or vomiting, (2) photophobia and phonophobia. Evans anecdotally noted that many patients answer the question, "does light or noise bother you during a headache," with a "no" when the answer is really "yes" if they are asked more detailed close-ended questions. METHODS:Consecutive patients fulfilling International Headache Society 2004 criteria for migraine or probable migraine presenting to a headache clinic and a neurology clinic were asked the following questions: "does light bother you during a headache?" If "no," they were then asked, "during a headache, would you prefer to be in bright sunlight or in a dark room?"does noise bother you during a headache?" If "no," they were then asked, "during a headache, would you prefer to be in a room with loud music or in a quiet room?" RESULTS:Eighty-five consecutive patients with migraine or probable migraine were questioned, 71 females (83.5%) and 14 males (16.5%). There was denial of light and sound sensitivity in 24% of patients with routine questioning and then awareness of sensitivity in 93% with the further questioning. A total of 7.1% of the patients were diagnosed with probable migraine. However, if the additional questions were not asked, 8% more of the patients with definite migraine would have been incorrectly diagnosed as probable migraine. CONCLUSION:When patients initially deny light and noise sensitivity during migraine headaches, additional questions should be asked to ensure that their answer is accurate. Not asking the additional questions may result in the over-diagnosis of probable migraine.

journal_name

Headache

journal_title

Headache

authors

Evans RW,Seifert T,Kailasam J,Mathew NT

doi

10.1111/j.1526-4610.2007.00920.x

subject

Has Abstract

pub_date

2008-03-01 00:00:00

pages

395-7

issue

3

eissn

0017-8748

issn

1526-4610

pii

HED920

journal_volume

48

pub_type

杂志文章

相关文献

HEADACHE文献大全
  • Cluster headache in two sisters. Pupillary response to phenylephrine and tyramine.

    abstract::Two sisters with cluster headache were studied with respect to the pupillary responses to instillation into the conjunctival sac of a single drop of a 1% solution of phenylephrine and a 2% solution of tyramine. The changes in pupillary diameters were documented by photographic pupillometry prior to and at 15, 30, 60, ...

    journal_title:Headache

    pub_type: 杂志文章

    doi:10.1046/j.1526-4610.1996.3607448.x

    authors: Havelius U,Milos P,Hindfelt B

    更新日期:1996-07-01 00:00:00

  • Hemicrania continua evolving from cluster headache responsive to valproic acid.

    abstract::Hemicrania continua (HC) is a rare type of primary headache characterized by a prompt and enduring response to indomethacin. We describe a patient who suffered from cluster headache evolving into ipsilateral HC, who does not tolerate a long-term indomethacin therapy. The case was complex in terms of diagnosis, associa...

    journal_title:Headache

    pub_type: 信件

    doi:10.1111/j.1526-4610.2008.01249.x

    authors: Lambru G,Castellini P,Bini A,Evangelista A,Manzoni GC,Torelli P

    更新日期:2008-10-01 00:00:00

  • Quantitative MRI studies of chronic brain white matter hyperintensities in migraine patients.

    abstract:OBJECTIVE:The aim of this study was to examine chronic brain white matter hyperintensities in migraine and to gain data on the characteristics of the lesions. BACKGROUND:Migraine associates with a higher incidence of magnetic resonance imaging (MRI)-visible white matter signal abnormalities. Several attack-related pat...

    journal_title:Headache

    pub_type: 杂志文章

    doi:10.1111/head.12013

    authors: Aradi M,Schwarcz A,Perlaki G,Orsi G,Kovács N,Trauninger A,Kamson DO,Erdélyi-Bótor S,Nagy F,Nagy SA,Dóczi T,Komoly S,Pfund Z

    更新日期:2013-05-01 00:00:00

  • Antagonistic Relationship Between VEP Potentiation and Gamma Power in Visual Snow Syndrome.

    abstract:OBJECTIVE:Using a "double-pulse" adaptation paradigm, in which two stimuli are presented in quick succession, this study examines the neural mechanisms underlying potentiation of the visual evoked potential (VEP) in visual snow syndrome. BACKGROUND:Visual snow is a persistent visual disturbance characterized by rapid ...

    journal_title:Headache

    pub_type: 杂志文章

    doi:10.1111/head.13231

    authors: Luna S,Lai D,Harris A

    更新日期:2018-01-01 00:00:00

  • Sensitivity to various stimuli in primary headaches: a questionnaire study.

    abstract::Questions about discomfort or pain produced by various stimuli (e.g., light, sound, exercise, neck movements) are currently used to differentiate between various primary headache disorders. In order to evaluate the usefulness of differences in sensitivity to physical stimuli in headache diagnosis, the answers to a que...

    journal_title:Headache

    pub_type: 杂志文章

    doi:10.1046/j.1526-4610.1999.3908552.x

    authors: Vingen JV,Sand T,Stovner LJ

    更新日期:1999-09-01 00:00:00

  • Psychiatric comorbidity is related to headache induced by chronic substance use in migraineurs.

    abstract::Headache centers have to deal with patients suffering from headache induced by chronic substance use which is a well-recognized complication of migraine treatment. The objective of this study was to compare psychiatric comorbidity between migraineurs with and without chronic substance use: 34 migrainous inpatients wit...

    journal_title:Headache

    pub_type: 杂志文章

    doi:10.1046/j.1526-4610.1999.3907477.x

    authors: Radat F,Sakh D,Lutz G,el Amrani M,Ferreri M,Bousser MG

    更新日期:1999-07-01 00:00:00

  • Occipital Nerve Stimulation for Medically Refractory Chronic Paroxysmal Hemicrania.

    abstract:OBJECTIVE:To describe the outcome of a patient with refractory chronic paroxysmal hemicrania (CPH) to occipital nerve stimulation (ONS). BACKGROUND:CPH is a primary headache disorder exquisitely sensitive to indomethacin. In patients unable to tolerate indomethacin, the therapeutic options are limited. ONS is a promis...

    journal_title:Headache

    pub_type: 杂志文章

    doi:10.1111/head.13187

    authors: Miller S,Lagrata S,Watkins L,Matharu M

    更新日期:2017-11-01 00:00:00

  • The relation between migraine, typical migraine aura and "visual snow".

    abstract:OBJECTIVE:To assess the relationship between the phenotype of the "visual snow" syndrome, comorbid migraine, and typical migraine aura on a clinical basis and using functional brain imaging. BACKGROUND:Patients with "visual snow" suffer from continuous TV-static-like tiny flickering dots in the entire visual field. Mo...

    journal_title:Headache

    pub_type: 杂志文章

    doi:10.1111/head.12378

    authors: Schankin CJ,Maniyar FH,Sprenger T,Chou DE,Eller M,Goadsby PJ

    更新日期:2014-06-01 00:00:00

  • Intracranial hypertension and levofloxacin: a case report.

    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

    authors: Lardizabal DV

    更新日期:2009-02-01 00:00:00

  • The relationship between stress, headache, and the menstrual cycle in young female migraineurs.

    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

    authors: Holm JE,Bury L,Suda KT

    更新日期:1996-10-01 00:00:00

  • Thermographic findings in cranio-facial pain.

    abstract::This work assesses the differences in the thermographic findings in the craniofacial and neck areas between normal individuals and patients with craniofacial pain or headache, and investigates the influence of muscle contraction on such findings. Thermographic records were taken in 10 healthy subjects and 47 patients ...

    journal_title:Headache

    pub_type: 杂志文章

    doi:10.1111/j.1526-4610.1990.hed3008497.x

    authors: Mongini F,Caselli C,Macrì V,Tetti C

    更新日期:1990-07-01 00:00:00

  • A history of cigarette smoking is associated with the development of cranial autonomic symptoms with migraine headaches.

    abstract:OBJECTIVE:To look at the smoking history of migraine patients and to determine if a history of cigarette smoking is associated with the development of cranial autonomic symptoms with migraine headaches. BACKGROUND:It has recently been noted that a significant number of migraine patients may develop autonomic symptoms ...

    journal_title:Headache

    pub_type: 杂志文章

    doi:10.1111/j.1526-4610.2010.01707.x

    authors: Rozen TD

    更新日期:2011-01-01 00:00:00

  • Obesity and migraine: the effect of age, gender and adipose tissue distribution.

    abstract:OBJECTIVE:To evaluate the prevalence of migraine/severe headaches in those with and without general obesity and abdominal obesity (Abd-O) and the effect of gender and age on this relationship. BACKGROUND:General, or total body obesity (TBO), as estimated by body mass index, is a risk factor for migraine chronification...

    journal_title:Headache

    pub_type: 杂志文章

    doi:10.1111/j.1526-4610.2009.01459.x

    authors: Peterlin BL,Rosso AL,Rapoport AM,Scher AI

    更新日期:2010-01-01 00:00:00

  • Ketoprofen, acetaminophen, and placebo in the treatment of tension headache.

    abstract::Seven hundred three subjects completed a randomized, double-blind, parallel-group, single-center study comparing the single-dose efficacy of ketoprofen 12.5 mg, ketoprofen 25 mg, acetaminophen 1000 mg, and placebo in the treatment of tension headache. For the primary efficacy variable, 4-hour sum of pain relief intens...

    journal_title:Headache

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1046/j.1526-4610.1998.3808579.x

    authors: Mehlisch DR,Weaver M,Fladung B

    更新日期:1998-09-01 00:00:00

  • Kynurenate derivative attenuates the nitroglycerin-induced CamKIIα and CGRP expression changes.

    abstract:OBJECTIVE:To examine the efficacy of L-kynurenine and a novel kynurenic acid derivative on the nitroglycerin-induced calmodulin-dependent protein kinase II alpha (CamKIIalpha) and calcitonin gene-related peptide (CGRP) expression changes in the rat caudal trigeminal nucleus. BACKGROUND:Systemic administration of the n...

    journal_title:Headache

    pub_type: 杂志文章

    doi:10.1111/j.1526-4610.2009.01574.x

    authors: Vámos E,Fejes A,Koch J,Tajti J,Fülöp F,Toldi J,Párdutz A,Vécsei L

    更新日期:2010-05-01 00:00:00

  • Abnormal neuromuscular transmission in cluster headache.

    abstract:OBJECTIVE:To identify and investigate any dysfunction of neuromuscular transmission in episodic cluster headache. BACKGROUND:Abnormal neuromuscular transmission has been shown in migraine with aura and in migraine without aura by using single fiber electromyography. Especially for migraine with aura, a genetic cause h...

    journal_title:Headache

    pub_type: 杂志文章

    doi:10.1046/j.1526-4610.2003.03103.x

    authors: Ertas M,Baslo MB

    更新日期:2003-06-01 00:00:00

  • Diet and Headache: Part 1.

    abstract:BACKGROUND:The role of diet in the management of the headache patient is a controversial topic in the headache field. OBJECTIVES:To review the evidence supporting the hypothesis that specific foods or ingredients within foods and beverages trigger attacks of headache and/or migraine and to discuss the use of eliminati...

    journal_title:Headache

    pub_type: 杂志文章,评审

    doi:10.1111/head.12953

    authors: Martin VT,Vij B

    更新日期:2016-10-01 00:00:00

  • An epidemiological study of headache among the Monks of Athos (Greece).

    abstract::The Monks of Athos in Greece constitute a particular group with unusual sleep schedule and specific diet. In order to study the frequency of headache among them, a special questionnaire was designed. Four hundred forty-nine monks below the age of 50 were approached, 39 of whom suffered from frequent (more than one epi...

    journal_title:Headache

    pub_type: 杂志文章

    doi:10.1111/j.1526-4610.1994.hed3409539.x

    authors: Mitsikostas DD,Thomas A,Gatzonis S,Ilias A,Papageorgiou C

    更新日期:1994-10-01 00:00:00

  • The medical costs of migraine and comorbid anxiety and depression.

    abstract:OBJECTIVE:To examine the direct medical costs associated with migraine, when diagnosed alone and in conjunction with anxiety and/or depression in adults and children. BACKGROUND:Migraine is a common disorder that can often be accompanied by comorbid anxiety and/or depression. Given the prevalence of migraine and the l...

    journal_title:Headache

    pub_type: 杂志文章

    doi:10.1111/j.1526-4610.2004.446004.x

    authors: Pesa J,Lage MJ

    更新日期:2004-06-01 00:00:00

  • Verapamil for cluster headache. Clinical pharmacology and possible mode of action.

    abstract::Verapamil is used mainly in cardiovascular diseases. High-dose verapamil (360-720 mg) is, however, currently the mainstay in the prophylactic treatment of cluster headache. The oral pharmacokinetics are variable. The pharmacodynamic effect of verapamil, the effect on blood pressure, also varies considerably among subj...

    journal_title:Headache

    pub_type: 杂志文章,评审

    doi:10.1111/j.1526-4610.2008.01298.x

    authors: Tfelt-Hansen P,Tfelt-Hansen J

    更新日期:2009-01-01 00:00:00

  • Pathological contrast enhancement of the oculomotor and trigeminal nerves caused by intracranial hypotension syndrome.

    abstract::The typical symptom of intracranial hypotension syndrome is orthostatic headache. The headache may also be accompanied by neck pain and stiffness, low backache, radicular symptoms, quadriplegia, interscapular pain, nausea/vomiting, and cranial nerve involvement symptoms (hearing and visual problems, face pain and numb...

    journal_title:Headache

    pub_type: 杂志文章

    doi:10.1111/j.1526-4610.2010.01825.x

    authors: Albayram S,Asik M,Hasiloglu ZI,Dikici AS,Erdemli HE,Altintas A

    更新日期:2011-05-01 00:00:00

  • Ketamine-Magnesium for Refractory Chronic Cluster Headache: A Case Series.

    abstract:OBJECTIVES:To evaluate the safety and efficacy of ketamine-magnesium combination to reduce attacks in a series of patients with refractory chronic cluster headache (rCCH). BACKGROUND:Refractory chronic cluster headache (CCH) is a rare but highly debilitating condition that needs new treatment options. A previous publi...

    journal_title:Headache

    pub_type: 杂志文章

    doi:10.1111/head.14005

    authors: Moisset X,Giraud P,Meunier E,Condé S,Périé M,Picard P,Pereira B,Ciampi de Andrade D,Clavelou P,Dallel R

    更新日期:2020-11-01 00:00:00

  • Diagnostic criteria for screening headache patients for temporomandibular disorders.

    abstract::Patients with temporomandibular disorders frequently suffer from headache. The purpose of this study was to develop a simple screening exam which would allow the physician to identify headache patients with coexisting temporomandibular disorders. Twenty-eight migraine and 27 tension headache patients were identified b...

    journal_title:Headache

    pub_type: 杂志文章

    doi:10.1111/j.1526-4610.1995.hed3503121.x

    authors: Schiffman E,Haley D,Baker C,Lindgren B

    更新日期:1995-03-01 00:00:00

  • Concurrent onabotulinumtoxinA treatment of cervical dystonia and concomitant migraine.

    abstract:OBJECTIVE:The objective of this study was to assess the clinical benefits of onabotulinumtoxinA (BOTOX®) treatment on the symptoms of cervical dystonia and the frequency, severity, and associated symptoms of migraine in patients with cervical dystonia and concurrent migraine. BACKGROUND:Botulinum toxin is established ...

    journal_title:Headache

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1526-4610.2012.02164.x

    authors: Winner PK,Sadowsky CH,Martinez WC,Zuniga JA,Poulette A

    更新日期:2012-09-01 00:00:00

  • Pericranial muscle tenderness and exteroceptive suppression of temporalis muscle activity: a blind study of chronic tension-type headache.

    abstract::The aim of the present study was to examine the ability of pericranial muscle tenderness and the second exteroceptive suppression period to distinguish chronic tension-type headache sufferers, migraine sufferers, and controls in a young adult population utilizing a blind design. The second exteroceptive suppression pe...

    journal_title:Headache

    pub_type: 杂志文章

    doi:10.1046/j.1526-4610.1997.3706368.x

    authors: Lipchik GL,Holroyd KA,Talbot F,Greer M

    更新日期:1997-06-01 00:00:00

  • Childhood maltreatment and migraine (part III). Association with comorbid pain conditions.

    abstract:OBJECTIVE:To evaluate in a headache clinic population the relationship of childhood maltreatment on the prevalence of pain conditions comorbid with migraine. BACKGROUND:Childhood maltreatment is highly prevalent and has been frequently associated with recurrent headache. The relationship of maltreatment and pain has, ...

    journal_title:Headache

    pub_type: 杂志文章

    doi:10.1111/j.1526-4610.2009.01558.x

    authors: Tietjen GE,Brandes JL,Peterlin BL,Eloff A,Dafer RM,Stein MR,Drexler E,Martin VT,Hutchinson S,Aurora SK,Recober A,Herial NA,Utley C,White L,Khuder SA

    更新日期:2010-01-01 00:00:00

  • Migraine changes with age: IMPACT on migraine classification.

    abstract:OBJECTIVE:To establish if criteria for the diagnosis of migraine change with age and to document the influence of age on the full spectrum of migraine features. Also to define the clinical spectrum and provide a prognostic profile of migraine stratified by age. BACKGROUND:Few studies have formally analyzed migraine ch...

    journal_title:Headache

    pub_type: 杂志文章

    doi:10.1111/j.1526-4610.2006.00444.x

    authors: Kelman L

    更新日期:2006-07-01 00:00:00

  • A Brief Look at Urgent Care Visits for Migraine: The Care Received and Ideas to Guide Migraine Care in this Proliferating Medical Setting.

    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

    authors: Minen MT,Zhou K,Miller L

    更新日期:2020-03-01 00:00:00

  • Syndrome of Transient Headache and Neurologic Deficits With Cerebrospinal Fluid Lymphocitosis Should Be Considered in Children Presenting With Acute Confusional State.

    abstract:BACKGROUND:Transient headache and neurologic deficits with cerebrospinal fluid lymphocytosis (HaNDL) is benign and self-limited, with neurologic deficits including sensory disturbance of one body side, aphasia, nausea/vomiting, weakness, decreased vision, homonymous hemianopsia, photophobia. Acute confusional state can...

    journal_title:Headache

    pub_type: 杂志文章

    doi:10.1111/head.13238

    authors: Moavero R,Papetti L,Tarantino S,Battan B,Salfa I,Deodati A,Schiaffini R,Vigevano F,Valeriani M

    更新日期:2018-03-01 00:00:00

  • The role of cardiovascular screening in headache patients.

    abstract::There have been associations demonstrated between migraine and ischemic stroke and heart disease. Additionally, headache patients have increased cardiovascular risk factors. This article reviews available data supporting these concerns and answers the following questions: 1) Does the association between migraine and c...

    journal_title:Headache

    pub_type: 杂志文章,评审

    doi:10.1111/j.1526-4610.2010.01839.x

    authors: Kirkham KE,Colon RJ,Solomon GD

    更新日期:2011-02-01 00:00:00