高压性和正常眼压性青光眼中的偏头痛和紧张性头痛

Migraine and tension headache in high-pressure and normal-pressure glaucoma.

作者信息

Cursiefen C, Wisse M, Cursiefen S, Jünemann A, Martus P, Korth M

机构信息

Department of Ophthalmology and the Institute of Medical Informatics, Biometry and Epidemiology, University of Erlangen-Nürnberg, Erlangen, Germany.

出版信息

Am J Ophthalmol. 2000 Jan;129(1):102-4. doi: 10.1016/s0002-9394(99)00289-5.

DOI:10.1016/s0002-9394(99)00289-5

PMID:10653426

Abstract

PURPOSE

To analyze the association of normal-pressure glaucoma and migraine.

METHODS

In a prospective study, 154 patients with glaucoma (56 normal-pressure subgroup and 98 high-pressure glaucoma subgroup), 55 patients with ocular hypertension, and 75 control subjects were analyzed by means of a standardized questionnaire based on International Headache Society criteria.

RESULTS

According to the questionnaire, 46 patients (17%) were classified as suffering from migraine and 20 (7%) from tension headache (episodic and chronic). The prevalence of headache, migraine, and tension headache did not vary significantly among control subjects, patients with ocular hypertension, and patients with glaucoma, but migraine was significantly more common in patients with normal-pressure glaucoma (28%) compared with control subjects (12%; P<.05) and patients with high-pressure glaucoma (10%; P<.01).

CONCLUSION

The results suggest an association of normal-pressure glaucoma and migraine and a potential, common vascular etiology of both diseases.

摘要

目的

分析正常眼压性青光眼与偏头痛之间的关联。

方法

在一项前瞻性研究中，通过基于国际头痛协会标准的标准化问卷对154例青光眼患者（56例正常眼压亚组和98例高眼压青光眼亚组）、55例高眼压症患者以及75例对照受试者进行分析。

结果

根据问卷，46例患者（17%）被归类为患有偏头痛，20例（7%）患有紧张性头痛（发作性和慢性）。对照受试者、高眼压症患者和青光眼患者中头痛、偏头痛和紧张性头痛的患病率无显著差异，但正常眼压性青光眼患者中偏头痛的发生率（28%）显著高于对照受试者（12%；P<0.05）和高眼压青光眼患者（10%；P<0.01）。