Chronic Helicobacter pylori infection and migraine: a case-control study
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Published on: June 2, 2014
L Pinessi1, L Savi, R Pellicano
1Neurology III-Headache Center, Department of Neuroscience, University of Turin, Italy.
Objective:
To determine whether chronic Helicobacter pylori infection is a risk factor for migraine.
Background:
Preliminary studies have shown a high prevalence of Helicobacter pylori infection in patients with primary headaches.
Methods:
One hundred three consecutive patients with migraine were enrolled in the study and compared with a group of 103 matched controls. Helicobacter pylori infection was diagnosed by means of both (13)C-urea breath test and serology.
Results:
Of patients with migraine, 30.1% were positive for Helicobacter pylori, compared with 31.1% of controls (P = NS). The odds ratio for migraine associated with chronic Helicobacter pylori infection was 0.96 (95% confidence interval, 0.51 to 1.80). Demographic, clinical, and psychological characteristics of Helicobacter pylori-positive migraineurs were compared with those of migrainous patients without infection. Helicobacter pylori-positive patients had a significantly (P<.05) lower incidence of food sensitivity than Helicobacter pylori-negative patients. No significant difference was found in any other feature examined.
Conclusions:
Our study suggests that chronic Helicobacter pylori infection is not more frequent in patients with migraine than in controls and that infection does not modify clinical features of the disease.
Insights
Chronic Helicobacter pylori infection is not a significant risk factor for migraine. This study found no increased prevalence of H. pylori in migraine patients compared to controls, and infection did not alter disease characteristics.
Area of Science:
- Neurology
- Gastroenterology
- Infectious Disease
Background:
- Preliminary research indicated a high prevalence of Helicobacter pylori infection in individuals experiencing primary headaches.
- The potential link between H. pylori and headache disorders warrants further investigation.
Purpose of the Study:
- To investigate whether chronic Helicobacter pylori infection serves as a risk factor for migraine development.
- To determine if H. pylori infection influences the clinical presentation of migraine.
Main Methods:
- A case-control study involving 103 consecutive migraine patients and 103 matched controls.
- Helicobacter pylori infection was confirmed using both the (13)C-urea breath test and serological markers.
Main Results:
- The prevalence of H. pylori infection was similar in both migraine patients (30.1%) and controls (31.1%).
- The odds ratio for migraine associated with chronic H. pylori infection was 0.96 (95% CI, 0.51-1.80), indicating no significant association.
- H. pylori-positive migraine patients exhibited a lower incidence of food sensitivity compared to H. pylori-negative patients (P<.05).
Conclusions:
- Chronic Helicobacter pylori infection is not more common in migraine patients than in the general population.
- H. pylori infection does not appear to alter the clinical features or severity of migraine headaches.
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