Interrelation of chronic tension-type headache with and without medication overuse and migraine in the general population: the Akershus study of chronic headache

Interrelation of chronic tension-type headache with and without medication overuse and migraine in the general population: the Akershus study of chronic headache
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DOI:
10.1111/j.1468-2982.2008.01729.x
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发表时间:
2009-03-01
期刊:
影响因子:
4.9
通讯作者:
Russell, M. B.
Russell, M. B.
中科院分区:
医学2区
文献类型:
--
作者:
Aaseth, K.;Grande, R. B.;Russell, M. B.

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我们研究了30 000名年龄在30-44岁之间的随机样本中慢性紧张型头痛伴和不伴药物过度使用(CTTH)和偏头痛的相互关系。他们收到了一份邮寄的调查问卷。那些可能患有慢性头痛的人接受了神经科住院医生的采访。使用国际头痛疾病分类。共有386人患有CTTH。与普通人群相比,男性无先兆偏头痛(MO)的风险显著增加2.8倍,女性增加2.4倍。先兆偏头痛(MA)的风险没有增加。CTTH的平均发病年龄在有MO的患者中显著高于无MO的患者。与发病年龄相反的患者相比,CTTH发病年龄在MO发病年龄之前的患者双侧MO发作的频率明显更高。CTTH和MO相互关联,可能是一个复杂的问题。相反,CTTH和MA并不相互关联。
We studied the interrelation of chronic tension-type headache with and without medication overuse (CTTH) and migraine in a random sample of 30 000 persons aged 30-44 years. They received a mailed questionnaire. Those with a possible chronic headache were interviewed by neurological residents. The International Classification of Headache Disorders was used. A total of 386 persons had CTTH. Compared with the general population, men had a 2.8-fold and women a 2.4-fold significantly increased risk of migraine without aura (MO). The risk of migraine with aura (MA) was not increased. The mean age at onset of CTTH was significantly higher in those with than in those without co-occurrence of MO. Bilateral MO attacks were significantly more frequent in those with age at onset of CTTH prior to age at onset of MO compared with those with age at onset in reverse order. CTTH and MO are interrelated, possibly in a complex matter. In contrast, CTTH and MA are not interrelated.