Grey zones in the diagnosis of adult migraine without aura based on the International Classification of Headache Disorders-III beta: Exploring the covariates of possible migraine without aura
dc.contributor.author | Ozge, Aynur | |
dc.contributor.author | Aydinlar, Elif | |
dc.contributor.author | Tasdelen, Bahar | |
dc.date.accessioned | 2023-02-21T12:33:38Z | |
dc.date.available | 2023-02-21T12:33:38Z | |
dc.date.issued | 2015-01-01 | |
dc.description.abstract | BACKGROUND: Exploring clinical characteristics and migraine covariates may be useful in the diagnosis of migraine without aura. OBJECTIVE: To evaluate the diagnostic value of the International Classification of Headache Disorders (ICHD)-III beta-based diagnosis of migraine without aura | |
dc.description.abstract | to explore the covariates of possible migraine without aura using an analysis of grey zones in this area | |
dc.description.abstract | and, finally, to make suggestions for the final version of the ICHD-III. METHODS: A total of 1365 patients (mean {[}+/- SD] age 38.5 +/- 10.4 years, 82.8\% female) diagnosed with migraine without aura according to the criteria of the ICHD-III beta were included in the present tertiary care-based retrospective study. Patients meeting all of the criteria of the ICHD-III beta were classified as having full migraine without aura, while those who did not meet one, two or >= 3 of the diagnostic criteria were classified as zones I, II and III, respectively. The diagnostic value of the clinical characteristics and covariates of migraine were determined. RESULTS: Full migraine without aura was evident in 25.7\% of the migraineurs. A higher likelihood of zone I classification was shown for an attack lasting 4 h to 72 h (OR 1.560 | |
dc.description.abstract | P=0.002), with pulsating quality (OR 4.096 | |
dc.description.abstract | P<0.001), concomitant nausea/vomiting (OR 2.300 | |
dc.description.abstract | P<0.001) and photophobia/ phonophobia (OR 4.865 | |
dc.description.abstract | P<0.001). The first-rank determinants for full migraine without aura were sleep irregularities (OR 1.596 | |
dc.description.abstract | P=0.005) and periodic vomiting (OR 1.464 | |
dc.description.abstract | P=0.026). However, even if not mentioned in ICHD-III beta, the authors determined that motion sickness, abdominal pain or infantile colic attacks in childhood, associated dizziness and osmophobia have important diagnostic value. CONCLUSIONS: In cases that do not fulfill all of the diagnostic criteria although they are largely consistent with the characteristics of migraine in clinical terms, the authors believe that a history of infantile colic | |
dc.description.abstract | periodic vomiting (but not periodic vomiting syndrome) | |
dc.description.abstract | recurrent abdominal pain | |
dc.description.abstract | the presence of motion sickness or vertigo, dizziness or osmophobia accompanying the pain | |
dc.description.abstract | and comorbid atopic disorder are characteristics that should to be discussed and considered as additional diagnostic criteria (covariates) in the preparation of the final version of ICHD-III. | |
dc.description.issue | 1 | |
dc.description.issue | JAN-FEB | |
dc.description.pages | E1-E7 | |
dc.description.volume | 20 | |
dc.identifier.doi | 10.1155/2015/234193 | |
dc.identifier.uri | https://hdl.handle.net/11443/1543 | |
dc.identifier.uri | http://dx.doi.org/10.1155/2015/234193 | |
dc.identifier.wos | WOS:000351715700010 | |
dc.publisher | HINDAWI LTD | |
dc.relation.ispartof | PAIN RESEARCH \& MANAGEMENT | |
dc.subject | Covariates | |
dc.subject | Diagnostic criteria | |
dc.subject | Grey zones | |
dc.subject | ICHD-III | |
dc.subject | Migraine without aura | |
dc.title | Grey zones in the diagnosis of adult migraine without aura based on the International Classification of Headache Disorders-III beta: Exploring the covariates of possible migraine without aura | |
dc.type | Article |
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