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

Lampl C, Rudolph M, Deligianni CI, Mitsikostas DD - J Headache Pain (2015)

Bottom Line: 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.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 %.

View Article: PubMed Central - PubMed

Affiliation: Medical Headache Center, Hospital Sisters of Mercy, Seilerstaette Linz, Linz, 4020, Austria, christian.lampl@bhs.at.

ABSTRACT

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.

No MeSH data available.


Related in: MedlinePlus

Numbers of migraineurs per group with neck pain over the past 3 migraine attacks in the total study population (n = 487; 356 females [73.1 %] and 131 male [26.9 %])
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Fig1: Numbers of migraineurs per group with neck pain over the past 3 migraine attacks in the total study population (n = 487; 356 females [73.1 %] and 131 male [26.9 %])

Mentions: Five hundred twelve patients returned the questionnaire. 25 patients had to be excluded for further evaluation because Q1 was answered with “no” or not answered at all. Demographic details: the study consists of 487 migraineurs with episodic migraine (Fig. 1; 356 females [73.1 %] and 131 male [26.9 %]). 77 % of patients had migraine without aura; mean age was 38 years (range, 19 to 61 years); mean age at onset of migraine was 21 years (range, 11 to 42 years). The median number of attacks during the study period was 6 per month (range 3–14).Fig. 1


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

Lampl C, Rudolph M, Deligianni CI, Mitsikostas DD - J Headache Pain (2015)

Numbers of migraineurs per group with neck pain over the past 3 migraine attacks in the total study population (n = 487; 356 females [73.1 %] and 131 male [26.9 %])
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4556722&req=5

Fig1: Numbers of migraineurs per group with neck pain over the past 3 migraine attacks in the total study population (n = 487; 356 females [73.1 %] and 131 male [26.9 %])
Mentions: Five hundred twelve patients returned the questionnaire. 25 patients had to be excluded for further evaluation because Q1 was answered with “no” or not answered at all. Demographic details: the study consists of 487 migraineurs with episodic migraine (Fig. 1; 356 females [73.1 %] and 131 male [26.9 %]). 77 % of patients had migraine without aura; mean age was 38 years (range, 19 to 61 years); mean age at onset of migraine was 21 years (range, 11 to 42 years). The median number of attacks during the study period was 6 per month (range 3–14).Fig. 1

Bottom Line: 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.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 %.

View Article: PubMed Central - PubMed

Affiliation: Medical Headache Center, Hospital Sisters of Mercy, Seilerstaette Linz, Linz, 4020, Austria, christian.lampl@bhs.at.

ABSTRACT

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.

No MeSH data available.


Related in: MedlinePlus