Gracia Naya M
Servicio de Neurología, Hospital Miguel Servet, Zaragoza.
Neurologia. 1999 Oct;14(8):383-8.
Migraine is one of the most important reason of neurological consultation in Spain.
The aim of the present study was to analyse the profile of the patient with migraine and investigate epidemiological, clinical and therapeutical differences between migraine with aura o without aura.
For three consecutive months all patients attending for the first time the Neurology clinics of the Health Service of Aragón, were given a specially designed questionnaire.
374 patients who met migraine diagnostic criteria were included. They were 10.7% of the all patients. The majority of the patients were women (70%). Patients with migraine without aura were 299 (79.9%). The average age was 33.6 +/- 15.1. The family doctor referred 87% of the patients. Further investigations were requested in 20% of the patients with migraine without aura and 49.3% with aura. Cerebral CT was performed in 5.6% of migraine without aura and in 38.6% of migraine with aura patients, MR in 0.6% of migraine without aura and in 6.6% of migraine with aura patients. Treatment was given to 73% of the migraine patients attending for the first time. Calcium antagonists (45.3%) were the most common used drugs.
Migraine generates a considerable demand for neurological consultations. There are significant differences in investigations requested, treatments and follow-ups of patients with migraine with o without aura.
偏头痛是西班牙神经科会诊的最重要原因之一。
本研究旨在分析偏头痛患者的特征，并调查有先兆偏头痛和无先兆偏头痛之间在流行病学、临床和治疗方面的差异。
连续三个月，向首次到阿拉贡卫生服务机构神经科门诊就诊的所有患者发放一份专门设计的问卷。
纳入了374名符合偏头痛诊断标准的患者。他们占所有患者的10.7%。大多数患者为女性（70%）。无先兆偏头痛患者有299名（79.9%）。平均年龄为33.6±15.1岁。87%的患者由家庭医生转诊。20%的无先兆偏头痛患者和49.3%的有先兆偏头痛患者需要进一步检查。5.6%的无先兆偏头痛患者和38.6%的有先兆偏头痛患者进行了脑部CT检查，0.6%的无先兆偏头痛患者和6.6%的有先兆偏头痛患者进行了磁共振成像检查。73%首次就诊的偏头痛患者接受了治疗。钙拮抗剂（45.3%）是最常用的药物。
偏头痛导致了对神经科会诊的大量需求。有先兆偏头痛和无先兆偏头痛患者在检查要求、治疗和随访方面存在显著差异。
