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Complicated Form of Medication Overuse Headache Is Severe Version of Chronic Migraine.
Göçmez Yilmaz, Gülcan; Ghouri, Reza; Özdemir, Asena Ayça; Özge, Aynur.
Afiliación
  • Göçmez Yilmaz G; Department of Neurology, Mersin City Training and Research Hospital, Mersin 33110, Turkey.
  • Ghouri R; Department of Neurology, Mersin University School of Medicine, Mersin 33110, Turkey.
  • Özdemir AA; Neuroscience ad Neurotechnology Center of Excellence (NÖROM), Gazi University, Ankara 06570, Turkey.
  • Özge A; Department of Medical Education, Mersin University, Mersin 33343, Turkey.
J Clin Med ; 13(13)2024 Jun 25.
Article en En | MEDLINE | ID: mdl-38999262
ABSTRACT

Background:

MOH (medication overuse headache) is regarded as a complication of chronic migraines (CMs), with a general acknowledgment of reciprocal triggering between these two conditions. The present study aims to investigate the clinical parameters of relevance for the development of MOH among patients with CM, as well as for the subtype classification of MOHs.

Method:

We compared two groups of CM patients, with and without MOH, separated based on their demographic data and migraine characteristics. A subgroup of MOH accompanied by psychiatric co-morbidities (depression, anxiety, sleep disorder) was delineated, and the clinical features of relevance for the progression of MOH into the complicated state were evaluated.

Results:

The study revealed a higher prevalence of a family history of migraine in both the MOH and potentially complicated MOH subgroups (p < 0.001, p = 0.036), along with a higher prevalence of bilateral pain localization (p = 0.033, 0.021). Symptoms commonly associated with migraines, such as nausea, vomiting, photophobia, phonophobia, and osmophobia, were more common in both the MOH and potentially complicated MOH subgroups (p < 0.05). Furthermore, a positive correlation was found for the frequency (p < 0.001) and severity (p = 0.010) of migraine attacks and the duration of headaches (p = 0.007), atopy (p = 0.017), sleep disturbances (p = 0.011), and emotional stress (p = 0.022) in the MOH group.

Conclusion:

We found a positive correlation between the prevalence of MOH among patients with CM and a family history of migraines, higher frequency and intensity of headaches, bilateral manifestation, sleep disturbances, and emotional stress. Moreover, symptoms accompanying migraines were found to be more prevalent in individuals with MOH and potentially complicated MOH.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Clin Med Año: 2024 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Clin Med Año: 2024 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Suiza