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Objective: To assess frequency of pain referred to the teeth in occipital neuralgia, migraine and tension-type headache. Material and methods: 153 patients presenting with bruxing behavior and craniomandibular disorders (CMDs). Clinical examination, questionnaires, palpation, criteria for CMDs, bruxing behavior (BB), occipital neuralgia (ON), migraine (MIG), tension-type headache (TTH) and pain referred to the teeth. Results: Mean ages in the ON, MIG and TTH patients and controls were about 38.0, 37.0, 33.0 and 36.6 years, respectively (p = 0.17). The frequencies of dental pains in the subgroups ON and MIG were 37.1% and 25% (p = 0.52), ON and TTH, 37.1% and 18.6% (p = 0.03), ON and Controls 37.1% and 6.7% (p = 0.006), MIG and TTH 25% and 18.6% (p = 0.51), MIG and Controls 25% and 6.6% (p = 0.16) and TTH and controls 18.6% and 6.7% (p = 0.15). The frequencies of pain referred to the teeth decreased from the ON to the MIG, and then to the TTH and Control groups (x-square for independence p < 0.002, x-square for trends p < 0.001). Conclusion: The ON subgroup demonstrated the highest frequency of dental pain referred to the teeth. This frequency increased with the severity of pain. Neurophysiological mechanisms may explain higher frequency of referred pain associated with the severity of headache.
ABSTRACT
INTRODUCCIÓN. El tratamiento de la migraña en relación con las diferentes fases del ciclo menstrual es controversial, pues en muchas ocasiones existen situaciones especiales endógenas, de tipo hormonal, y exógenas, que es necesario considerar. La literatura médica documenta que alrededor del 60 por ciento de las mujeres migrañosas presentan migraña menstrual de difícil tratamiento. El objetivo de esta investigación fue analizar esta relación entre migraña y menstruación en un grupo de pacientes atendidas en el Hospital Pediátrico Universitario William Soler. MÉTODOS. De enero a junio del 2008 se estudiaron 124 adolescentes que acudieron a la consulta de ginecología infantojuvenil y que además presentaban cefalea. Del total de la muestra fueron seleccionadas las que presentaban migraña relacionada con el ciclo menstrual (n = 70). RESULTADOS. En el 55,7 por ciento de los casos, el comienzo de la migraña se observó en la adolescencia temprana. En el 85,71 por ciento de las adolescentes existieron factores de riesgo genéticos para la migraña, y en el 50 por ciento de los casos ésta apareció en la fase premenstrual. CONCLUSIONES. La migraña común se observó con frecuencia en la fase premenstrual del ciclo, con importante participación hormonal
INTRODUCTION: Treatment of migraine related to different phases of menstrual cycle is controversial since in many occasions there are endogenous and exogenous special situations of hormonal type to be considered. Medical literature documents that about 60 percent of women presenting with migraine have a menstrual type very difficult to treat. The objective of present research was to analyze the relation between migraine y and menstruation in a series of patients seen in Wiliam Soler Children University Hospital. METHODS: From January to June, 2008 124 adolescents were studied referred to infantile-juvenile gynecology consultation and also with migraine. From total sample we selected those with migraine related to menstrual cycle (n = 70). RESULTS: In 55,7 percent of cases the migraine onset was observed in the early adolescence. In 85,71 percent of adolescents there were genetic risk factors for migraine, and in the 50 percent of cases, this appeared in the premenstrual phase. CONCLUSIONS: The common migraine was frequent in the phase above mentioned with a significant hormonal presence
Subject(s)
Humans , Female , Adolescent , Migraine without Aura/drug therapy , Genetic Phenomena/genetics , Premenstrual Syndrome/diagnosis , Premenstrual Syndrome/drug therapyABSTRACT
Objective To observe the clinical features of migraine based on out-patient clinic data and provide help for the diagnosis and treatment of migraine. Methods In a retrospective study of 309 patients with migraine, we investigated the clinical characteristics of migraine of both genders and different types, and the risk factors for MOH transformed from migraine. Results The female to male ratio was about 3:1,76.1% of the patients had triggering factors. The most common characteristics of headache were moderate to severe intensity of the pain (97.7%), aggravation by routine physical activity (75.1%), and association with nausea (90.9%) and/or vomiting (70.6%). There were significant differences in some clinical characteristics of migraine in females as compared with these in males and in patients with migraine without aura (MWOA) as compared with those with aura (MWA). The risk factors for MOH transformed from migraine were elder age of onset, high attack frequency and the analgesics frequently used (P < 0.05).Conclusion It is suggested that carefully collecting the characteristics of headache, triggering factors and therapeutic history is the foundation of correct diagnosis and effective treatment for migraine.