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Neck pain in episodic migraine: premonitory symptom or part of the attack?

BACKGROUND: Whether neck pain (NP) is a prodromal migraine symptom or belongs to the migraine attack feature remains controversial. METHODS: In order to prospectively record neck pain (NP) and non-headache symptoms and to evaluate the percentage of patients having NP as clear premonitory, non-headac...

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Detalles Bibliográficos
Autores principales: Lampl, Christian, Rudolph, Mirjam, Deligianni, Christina I., Mitsikostas, Dimos D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Milan 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4556722/
https://www.ncbi.nlm.nih.gov/pubmed/26329488
http://dx.doi.org/10.1186/s10194-015-0566-9
Descripción
Sumario:BACKGROUND: Whether neck pain (NP) is a prodromal migraine symptom or belongs to the migraine attack feature remains controversial. METHODS: In order to prospectively record neck pain (NP) and non-headache symptoms and to evaluate the percentage of patients having NP as clear premonitory, non-headache symptom of their migraine, a specific self fulfilled questionnaire was designed to record NP and premonitory symptoms in a migraine cohort. All patients who reported NP anytime during the migraine phase were allocated to 3 groups: A = NP starts with the onset of headache; B = NP starts < 2 h before the onset of headache; C = NP starts 2-48 h before the onset of headache. RESULTS: Data were evaluated from 487 migraineurs with episodic migraine (73.1 % females; 77 % had migraine without aura). 338 patients (69.4 %) reported NP anytime during the migraine phase. 184 patients (group A; 54.4 %) noticed NP with the start of the headache phase; 118 patients (group B; 24.2 %) reported NP within 2 h before the headache phase; 36 patients (group C; 7.4 %) experienced NP 2-48 h before the headache phase. In group B we found a high proportion of typical migraine associated symptoms and NP progressed into the headache phase in 82.2 %. CONCLUSIONS: These data indicate that NP is a very common feature of migraine attacks and is more likely to be part of the migraine attack than a prodromal migraine symptom.