有运动诱发发作的偏头痛患者具有独特的偏头痛。
Migraineurs with exercise-triggered attacks have a distinct migraine.
机构信息
Department of neurology, HagaZiekenhuis Teaching hospital, Leyweg 275, 2445 CH, The Hague, The Netherlands.
出版信息
J Headache Pain. 2013 Dec 21;14(1):99. doi: 10.1186/1129-2377-14-99.
BACKGROUND
Sport as a migraine trigger has been reported, but extensive information on these triggered attacks and the patients experiencing these attacks is lacking. Goal of this study was to investigate the lifetime prevalence of exercise triggered migraine attacks in migraine patients and if patients with exercise triggered attacks experience specific prodromal or ictal migraine symptoms.
METHODS
103 consecutive migraine patients seen during their first visit at a Dutch headache clinic were administered an interview during their first visit to the outpatient headache clinic in which they were asked about their normal life migraine characteristics and if exercise had ever triggered a migraine attack within 48 hours after stopping exercise. Those reporting exercise triggered migraine attacks, were asked if these migraine attacks were typical or atypical compared to their normal life attacks and which kind of exercise in particular could provoke migraine attacks.
RESULTS
Among migraineurs lifetime prevalence of exercise-triggered migraine attacks was 38%, regardless of migraine type (with or without aura) or gender. Neck pain as the initial migraine symptom during normal life migraine attacks, was more frequent in those experiencing exercise-triggered migraine attacks. More than half of the patients reporting exercise-triggered migraine attacks abandoned the offending sport due to migraine. As our study population was drawn from a headache clinic, result can not be generalized to the general population.
CONCLUSIONS
Life time prevalence of exercise-triggered migraine attacks was high. Those experiencing exercise-triggered migraine attacks, more frequently had neck pain as initial migraine symptom during normal life attacks.
背景
运动已被报道为偏头痛的触发因素，但关于这些诱发的头痛发作以及经历这些发作的患者的信息还很有限。本研究的目的是调查偏头痛患者一生中运动诱发偏头痛发作的发生率，以及是否有运动诱发头痛发作的患者经历特定的前驱期或发作期偏头痛症状。
方法
103 例连续的偏头痛患者在荷兰头痛诊所就诊的首次就诊期间接受了访谈，在首次就诊于门诊头痛诊所期间，询问他们正常生活中的偏头痛特征，以及在停止运动后 48 小时内，运动是否曾经引发偏头痛发作。报告有运动诱发偏头痛发作的患者被询问这些偏头痛发作与正常生活中的发作相比是否为典型或非典型，以及哪种特定的运动可以诱发偏头痛发作。
结果
在偏头痛患者中，无论偏头痛类型（有无先兆）或性别，运动诱发偏头痛发作的终生患病率为 38%。在正常生活中的偏头痛发作中，颈部疼痛作为初始偏头痛症状更为常见于经历运动诱发偏头痛发作的患者。超过一半报告有运动诱发偏头痛发作的患者因偏头痛而放弃了诱发偏头痛的运动。由于我们的研究人群来自头痛诊所，因此结果不能推广到一般人群。
结论
运动诱发偏头痛发作的终生患病率较高。经历运动诱发偏头痛发作的患者在正常生活中的偏头痛发作中，颈部疼痛作为初始偏头痛症状更为常见。
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