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Related Experiment Videos

Specific headache phenomena: their frequency and coincidence.

D K Ziegler1, R S Hassanein

  • 1Department of Neurology, University of Kansas Medical Center, Kansas City 66103.

Headache
|February 1, 1990
PubMed
Summary
This summary is machine-generated.

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This study found that aura in migraine attacks is often infrequent and variable. Hypertension history specifically correlated with migraine with aura, offering insights into headache characteristics.

Area of Science:

  • Neurology
  • Clinical Medicine
  • Epidemiology

Background:

  • Headache disorders are common and diverse.
  • Understanding specific attack characteristics is crucial for diagnosis and management.
  • Migraine with aura (MA) and migraine without aura (MO) have distinct features.

Purpose of the Study:

  • To investigate the correlation between specific headache attack characteristics in patients attending a headache clinic.
  • To analyze the frequency and variability of aura in migraine patients.
  • To explore associations between hypertension and specific migraine subtypes.

Main Methods:

  • A consecutive series of 392 patients at a headache clinic were studied.
  • A standardized questionnaire was used to gather data on headache attack characteristics.

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  • Statistical analysis was performed to identify correlations.

    • Main Results:

    • Headache with aura attacks were infrequent, with highly variable percentages of aura preceding attacks.
    • Paresthesia as an aura was uncommon and usually accompanied by visual aura.
    • Unilateral headaches were variably associated with nausea.
    • Most patients reported unilateral headaches with tension characteristics.
    • A history of hypertension significantly correlated with migraine with aura (classic migraine).

    Conclusions:

    • Aura in migraine is often infrequent and inconsistent.
    • Hypertension is a significant correlate of migraine with aura.
    • These findings contribute to a better understanding of migraine heterogeneity.