Prevalence of trigeminocervical convergence mechanisms in episodic and chronic migraine
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Arquivos de neuro-psiquiatria (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2022000500482 |
Resumo: | Abstract Background: Migraine pain location and trigeminocervical convergence have limited diagnostic value and have usually been assessed using non-standard verbal descriptors in a small number of centers. Objective: To use non-verbal descriptors of migraine pain location to determine the prevalence of trigeminocervical convergence mechanisms in patients with episodic and chronic migraine. In addition, we explored the factors associated with the presence of convergence. Methods: A multicenter study was carried out. The explicit pain location was explored by asking subjects to indicate, on an electronic form, three points on the anterolateral side and three points on the posterolateral side of the head and neck that represented the common locations of their migraine pain. We evaluated associations of the pain pattern with demographic and psychological features, comorbidities, lifestyle and other headache characteristics. Results: 97 episodic and 113 chronic migraine patients were included. Convergence was present in 116 migraineurs (55%) who indicated dominance of pain in the posterior cervical region. This site was more often involved in the chronic migraine group (21 vs. 33%; p=0.034). The number of migrainous/altered sensitivity symptoms (OR=1.39; 95%CI 1.14–1.71) was associated with convergence independently of the chronification status. In this symptom group, there were statistical associations between convergence and vomiting (p=0.045), tactile allodynia (p<0.001), nuchal rigidity (p<0.001) and movement allodynia (p=0.031). Conclusions: Trigeminocervical convergence is common in migraineurs and, in practice, it might be found frequently in chronic migraineurs. Some features commonly found in this group, such as altered sensitivity symptoms, are associated with this phenomenon. |
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Prevalence of trigeminocervical convergence mechanisms in episodic and chronic migraineHeadacheMigraine DisordersNeck PainAbstract Background: Migraine pain location and trigeminocervical convergence have limited diagnostic value and have usually been assessed using non-standard verbal descriptors in a small number of centers. Objective: To use non-verbal descriptors of migraine pain location to determine the prevalence of trigeminocervical convergence mechanisms in patients with episodic and chronic migraine. In addition, we explored the factors associated with the presence of convergence. Methods: A multicenter study was carried out. The explicit pain location was explored by asking subjects to indicate, on an electronic form, three points on the anterolateral side and three points on the posterolateral side of the head and neck that represented the common locations of their migraine pain. We evaluated associations of the pain pattern with demographic and psychological features, comorbidities, lifestyle and other headache characteristics. Results: 97 episodic and 113 chronic migraine patients were included. Convergence was present in 116 migraineurs (55%) who indicated dominance of pain in the posterior cervical region. This site was more often involved in the chronic migraine group (21 vs. 33%; p=0.034). The number of migrainous/altered sensitivity symptoms (OR=1.39; 95%CI 1.14–1.71) was associated with convergence independently of the chronification status. In this symptom group, there were statistical associations between convergence and vomiting (p=0.045), tactile allodynia (p<0.001), nuchal rigidity (p<0.001) and movement allodynia (p=0.031). Conclusions: Trigeminocervical convergence is common in migraineurs and, in practice, it might be found frequently in chronic migraineurs. Some features commonly found in this group, such as altered sensitivity symptoms, are associated with this phenomenon.Academia Brasileira de Neurologia - ABNEURO2022-05-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2022000500482Arquivos de Neuro-Psiquiatria v.80 n.5 2022reponame:Arquivos de neuro-psiquiatria (Online)instname:Academia Brasileira de Neurologiainstacron:ABNEURO10.1590/0004-282x-anp-2021-0095info:eu-repo/semantics/openAccessUtiumi,Marco Antonio TakashiKüster,João Guilherme BochniaGodk,Keryn SporhSantos,Maria Luiza dosTan,Bin ChengMioto,EldisleiKotsifas,Nikolai José EustátiosCanalli Filho,Luiz CarlosColombani,Gabriel Eduardo FariaKowacs,Pedro AndréPiovesan,Elcio Juliatoeng2022-06-20T00:00:00Zoai:scielo:S0004-282X2022000500482Revistahttp://www.scielo.br/anphttps://old.scielo.br/oai/scielo-oai.php||revista.arquivos@abneuro.org1678-42270004-282Xopendoar:2022-06-20T00:00Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologiafalse |
dc.title.none.fl_str_mv |
Prevalence of trigeminocervical convergence mechanisms in episodic and chronic migraine |
title |
Prevalence of trigeminocervical convergence mechanisms in episodic and chronic migraine |
spellingShingle |
Prevalence of trigeminocervical convergence mechanisms in episodic and chronic migraine Utiumi,Marco Antonio Takashi Headache Migraine Disorders Neck Pain |
title_short |
Prevalence of trigeminocervical convergence mechanisms in episodic and chronic migraine |
title_full |
Prevalence of trigeminocervical convergence mechanisms in episodic and chronic migraine |
title_fullStr |
Prevalence of trigeminocervical convergence mechanisms in episodic and chronic migraine |
title_full_unstemmed |
Prevalence of trigeminocervical convergence mechanisms in episodic and chronic migraine |
title_sort |
Prevalence of trigeminocervical convergence mechanisms in episodic and chronic migraine |
author |
Utiumi,Marco Antonio Takashi |
author_facet |
Utiumi,Marco Antonio Takashi Küster,João Guilherme Bochnia Godk,Keryn Sporh Santos,Maria Luiza dos Tan,Bin Cheng Mioto,Eldislei Kotsifas,Nikolai José Eustátios Canalli Filho,Luiz Carlos Colombani,Gabriel Eduardo Faria Kowacs,Pedro André Piovesan,Elcio Juliato |
author_role |
author |
author2 |
Küster,João Guilherme Bochnia Godk,Keryn Sporh Santos,Maria Luiza dos Tan,Bin Cheng Mioto,Eldislei Kotsifas,Nikolai José Eustátios Canalli Filho,Luiz Carlos Colombani,Gabriel Eduardo Faria Kowacs,Pedro André Piovesan,Elcio Juliato |
author2_role |
author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Utiumi,Marco Antonio Takashi Küster,João Guilherme Bochnia Godk,Keryn Sporh Santos,Maria Luiza dos Tan,Bin Cheng Mioto,Eldislei Kotsifas,Nikolai José Eustátios Canalli Filho,Luiz Carlos Colombani,Gabriel Eduardo Faria Kowacs,Pedro André Piovesan,Elcio Juliato |
dc.subject.por.fl_str_mv |
Headache Migraine Disorders Neck Pain |
topic |
Headache Migraine Disorders Neck Pain |
description |
Abstract Background: Migraine pain location and trigeminocervical convergence have limited diagnostic value and have usually been assessed using non-standard verbal descriptors in a small number of centers. Objective: To use non-verbal descriptors of migraine pain location to determine the prevalence of trigeminocervical convergence mechanisms in patients with episodic and chronic migraine. In addition, we explored the factors associated with the presence of convergence. Methods: A multicenter study was carried out. The explicit pain location was explored by asking subjects to indicate, on an electronic form, three points on the anterolateral side and three points on the posterolateral side of the head and neck that represented the common locations of their migraine pain. We evaluated associations of the pain pattern with demographic and psychological features, comorbidities, lifestyle and other headache characteristics. Results: 97 episodic and 113 chronic migraine patients were included. Convergence was present in 116 migraineurs (55%) who indicated dominance of pain in the posterior cervical region. This site was more often involved in the chronic migraine group (21 vs. 33%; p=0.034). The number of migrainous/altered sensitivity symptoms (OR=1.39; 95%CI 1.14–1.71) was associated with convergence independently of the chronification status. In this symptom group, there were statistical associations between convergence and vomiting (p=0.045), tactile allodynia (p<0.001), nuchal rigidity (p<0.001) and movement allodynia (p=0.031). Conclusions: Trigeminocervical convergence is common in migraineurs and, in practice, it might be found frequently in chronic migraineurs. Some features commonly found in this group, such as altered sensitivity symptoms, are associated with this phenomenon. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-05-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2022000500482 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2022000500482 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0004-282x-anp-2021-0095 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
dc.source.none.fl_str_mv |
Arquivos de Neuro-Psiquiatria v.80 n.5 2022 reponame:Arquivos de neuro-psiquiatria (Online) instname:Academia Brasileira de Neurologia instacron:ABNEURO |
instname_str |
Academia Brasileira de Neurologia |
instacron_str |
ABNEURO |
institution |
ABNEURO |
reponame_str |
Arquivos de neuro-psiquiatria (Online) |
collection |
Arquivos de neuro-psiquiatria (Online) |
repository.name.fl_str_mv |
Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologia |
repository.mail.fl_str_mv |
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