Facchinetti F, Neri I, Martignoni E, Fioroni L, Nappi G, Genazzani A R
Department of Obstetrics and Gynecology, University of Modena, Italy.
Cephalalgia. 1993 Dec;13(6):422-5. doi: 10.1046/j.1468-2982.1993.1306422.x.
To investigate the comorbidity of premenstrual syndrome (PMS) and menstrual migraine, the Menstrual Distress Questionnaire (MDQ) was prospectively administered for two consecutive menstrual cycles to 22 patients with menstrual migraine, 12 cases with migraine without aura and 15 patients with PMS. MDQ scores varied throughout the menstrual cycle in each patient group, the wider changes being shown by patients with PMS. Fourteen menstrual migraine patients and 4 migraine without aura patients achieved diagnostic criteria for PMS over two menstrual cycles. In these patients MDQ scores did not differ from PMS sufferers at any stage of the menstrual cycle. The premenstrual increase of each cluster of PMS symptoms was identical in menstrual migraine and PMS subjects with the exception of negative affect. We suggest that PMS symptoms should be taken into account in the IHS diagnostic criteria for menstrual migraine.
为研究经前综合征（PMS）与经期偏头痛的共病情况，对22例经期偏头痛患者、12例无先兆偏头痛患者和15例PMS患者连续两个月经周期前瞻性地使用月经困扰问卷（MDQ）。每个患者组的MDQ评分在整个月经周期中有所变化，PMS患者的变化更大。14例经期偏头痛患者和4例无先兆偏头痛患者在两个月经周期中达到了PMS的诊断标准。在这些患者中，MDQ评分在月经周期的任何阶段与PMS患者均无差异。除负面影响外，经期偏头痛患者和PMS患者中PMS各症状群的经前增加情况相同。我们建议，国际头痛协会（IHS）经期偏头痛的诊断标准应考虑PMS症状。
