Comparison of continuous headache features in youth with migraine, new daily persistent headache, and persistent post-traumatic headache.
Comparison of continuous headache features in youth with migraine, new daily persistent headache, and persistent post-traumatic headache.
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DOI：
10.1177/03331024221131331
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发表时间：
2023-01
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比较青年持续性头痛伴偏头痛、持续性创伤后头痛（PPTH）和新发每日持续性头痛（NDPH）的临床特征，以确定它们是否相似，与国际头痛疾病分类（ICHD-3）中的区别相反。我们进行了一项单中心年龄和性别匹配的观察性研究，比较了150名患有偏头痛、PPTH和NDPH持续头痛的青年（11 - 17岁）的临床特征。基于ICHD-3标准的诊断算法用于识别偏头痛（渐进性偏头痛的头痛特征）和PPTH和NDPH（基于头痛发作的情况，无论头痛特征如何）。50名患有偏头痛、PPTH和NDPH的参与者按年龄和性别匹配。比较了参与者对头痛特征的调查反应。中位日常头痛严重程度为6.0 [95%CI 6.0，6.0]，诊断组间无差异（H统计量= 1.2，p = 0.55）。头痛加重频率、残疾、相关症状和大多数触发因素在各组之间没有显著差异。大多数PPTH和NDPH的头痛特征与偏头痛的诊断一致（分别为72%和62%）。我们的研究结果表明，大多数PPTH和NDPH可能代表突然发作的偏头痛。
To compare clinical features in youth with continuous headache with migraine, persistent post-traumatic headache (PPTH), and new daily persistent headache (NDPH) to determine if they are similar, contrary to their distinction in the International Classification of Headache Disorders (ICHD-3). We pursued a single center age- and sex-matched observational study comparing the clinical characteristics of 150 youth (11 – 17 years old) with continuous headache from migraine, PPTH, and NDPH. A diagnostic algorithm based on ICHD-3 criteria was used to identify those with migraine (headache features of migraine with gradual onset), and PPTH and NDPH (based on the circumstances of headache onset regardless of headache features). Fifty participants each with migraine, PPTH, and NDPH were matched by age and sex. Participant survey responses on headache characteristics were compared. Median usual headache severity was 6.0 [95%CI 6.0, 6.0] and was not different across diagnostic groups (H statistic = 1.2, p = 0.55). Headache exacerbation frequency, disability, associated symptoms, and most triggers were not significantly different across groups. The majority of PPTH and NDPH had headache features consistent with a diagnose of migraine (72% and 62%, respectively). Our findings suggest that most PPTH and NDPH may represent abrupt onset of migraine.
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