A high incidence of migraine with aura among morbidly obese women

A high incidence of migraine with aura among morbidly obese women
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DOI:
10.1111/j.1526-4610.2005.05162.x
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发表时间:
2005-07-01
期刊:
影响因子:
5
通讯作者:
Ifergane, G
Ifergane, G
中科院分区:
医学3区
文献类型:
--
作者:
Horev, A;Wirguin, I;Ifergane, G

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导言--美国近三分之二的成年人超重或肥胖,全球人口的比例也在不断上升。肥胖与头痛的关系没有得到足够的重视。我们对病态肥胖妇女的头痛发生率进行了评估。方法:在索罗卡大学医学中心外科诊所进行手术前腹腔镜术前评估的病态肥胖妇女采用结构化访谈进行评估,并回顾她们的病历。结果:在2个月的时间里,27名病态肥胖妇女接受了访谈,平均BMI为41.07。有先兆偏头痛患者10例,无先兆偏头痛患者3例,紧张性头痛患者4例。结论:有先兆偏头痛的异常高发生率可归因于卵巢外脂肪组织中雌激素和雌二醇的产生。进一步的研究表明,减肥在头痛护理中的治疗作用。
Introduction.-Nearly two-thirds of adults in the United States and an increasing percentage of the population worldwide are overweight or obese. The relationship of obesity to headache has received inadequate attention. We evaluated the incidence of headache in a sample of morbidly obese women.Methods.-Morbidly obese women, attending the surgical preoperative clinic of Soroka University Medical Center for preoperative assessment for laparoscopic gastric banding were evaluated using a structured interview and their medical charts were reviewed.Results.-During a 2-month period, 27 morbidly obese women were interviewed, with a mean BMI of 41.07. Ten patients suffered from migraine with aura, three from migraine without aura, and four from tension headache.Conclusion.-The unusually high incidence of migraine with aura can be attributed to extraovarian production of estrogen and estradiol in the adipose tissue. Further study is indicated to explore the therapeutic role of weight loss in headache care.