性行為に関連した一次性頭痛の流行病学:診断および管理上の考慮事項を含むメタ解析

Aleksander Osiowski¹, Dominik Wróbel¹, Maksymilian Osiowski¹

¹Faculty of Medicine, Jagiellonian University Medical College, Krakow, Poland.

Headache

|August 27, 2025

まとめ

頭痛の治療を求める成人の間では,性行為に関連した初発頭痛 (PHS) はまれで,患者の0. 37%に及ぶ. この良性疾患は 30代半ばの男性でより頻繁に診断されます

科学分野:

神経科学
流行病学について
頭痛薬

背景:

性行為に関連した一次頭痛 (PHS) は良性頭痛障害である.
インドメタシン反応と運動による頭痛に関連しています.
高度な頭痛センターに報告する成人のPHSに関する疫学的なデータは限られている.

研究の目的:

臨床での頭痛の治療を求める成人のPHSの罹患率を決定する.
PHSの流行病学的特徴を確立する.

主な方法:

観察研究の体系的レビューとメタ解析が行われました.
検索はPubMed/MEDLINE,Embase,ScienceDirect,CINAHLのデータベースで行われました.
1988年1月1日から2024年11月11日まで発表された研究は,MOOSEのガイドラインに従った.

主要な成果:

40, 702人を対象とした10件の研究では,PHSの129例が特定され,その罹患率は0. 37% (95%CI,0. 17- 0. 81) であった.
研究において,かなりの異質性が見られた (I2 = 91. 66%).
PHSは女性 (0. 61%) よりも男性 (1. 54%) で,発症した平均年齢は37. 35歳でした.

結論:

PHSは,臨床的な設定に提示する成人の間で珍しい頭痛障害です.
この症状は30代半ばの男性でより頻繁に診断されます.
特定の危険因子と病理生理学については,さらなる研究によって明らかになるかもしれない.

キーワード:

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