Detecting Migraine in Patients with Mild Traumatic Brain Injury Using Three Different Headache Measures
Detecting Migraine in Patients with Mild Traumatic Brain Injury Using Three Different Headache Measures
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DOI：
10.1155/2015/693925
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发表时间：
2015-01-01
影响因子：
2.8
通讯作者：
de Guise, Elaine
中科院分区：
文献类型：
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作者：
Anderson, Kirsten;Tinawi, Simon;de Guise, Elaine
创伤后偏头痛可能是创伤性脑损伤（TBI）人群中头痛的一个重要亚型，与恢复时间增加有关。然而，它在轻度创伤性脑损伤（mTBI）患者中诊断不足。本研究检查了自我管理的九项筛选（九项筛选-SA），头痛影响测试-6（HIT-6），偏头痛3项筛选和Rivermead脑震荡后问卷（RPQ）在区分有（n = 23）和无（n = 20）偏头痛的mTBI患者方面的有效性。九项筛选器显示，偏头痛患者与非偏头痛患者之间几乎在每个问题上都存在显著差异，特别是在问题9（残疾）上，灵敏度：0.95，特异性：0.65（95%CI，0.64-0.90）。HIT-6在偏头痛和非偏头痛患者的残疾和疼痛严重程度方面表现出显著差异，残疾的敏感性为0.70，特异性为0.75（95%CI，0.54-0.83）。3项ID偏头痛筛查（光敏性）中只有问题3显示偏头痛和非偏头痛患者之间存在显著差异，灵敏度：0.84，特异性：0.55（CI，0.52-0.82）。RPQ没有显示偏头痛患者的症状比那些没有。在头痛指标中，九项筛选-SA最能区分伴有和不伴有偏头痛的mTBI患者。残疾可能是TBI人群中最好的偏头痛患者。
Posttraumatic migraine may represent an important subtype of headache among the traumatic brain injury (TBI) population and is associated with increased recovery times. However, it is underdiagnosed in patients with mild traumatic brain injury (mTBI). This study examined the effectiveness of the self-administered Nine-ItemScreener (Nine-ItemScreener-SA), the Headache Impact Test-6 (HIT-6), the 3-Item Migraine Screener, and the Rivermead Post-Concussion Questionnaire (RPQ) at discriminating between mTBI patients with (n = 23) andwithout (n = 20) migraines. The Nine-Item Screener demonstrated significant differences between migraine patients with and without migraine on nearly every question, especially on Question 9 (disability), sensitivity: 0.95 and specificity: 0.65 (95% CI, 0.64-0.90). The HIT-6 demonstrated significant differences between migraine and no-migraine patients on disability and pain severity, with disability having a sensitivity of 0.70 and specificity of 0.75 (95% CI, 0.54-0.83). Only Question 3 of the 3-Item ID Migraine Screener (photosensitivity) showed significant differences between migraine and no-migraine patients, sensitivity: 0.84 and specificity: 0.55 (CI, 0.52-0.82). The RPQ did not reveal greater symptoms in migraine patients compared with those without. Among headache measures, the Nine-Item Screener-SA best differentiated between mTBI patients with and without migraine. Disability may best identify migraine sufferers among the TBI population.