Comparison and predictors of chronic migraine vs. new daily persistent headache presenting with a chronic migraine phenotype

被引:7
作者
Nagaraj, Karthik [1 ,2 ]
Wei, Diana Y. [1 ,3 ]
Puledda, Francesca [1 ,3 ]
Weng, Hsing-Yu [4 ,5 ]
Waheed, Sadaf [1 ]
Vandenbussche, Nicolas [1 ,6 ]
Ong, Jonathan J. Y. [1 ,7 ,8 ]
Goadsby, Peter J. [1 ,3 ,9 ]
机构
[1] Kings Coll London, Wolfson CARD, Headache Grp, Inst Psychiat Psychol & Neurosci, London, England
[2] Bangalore Med Coll & Res Inst, Dept Neurol, Bangalore, Karnataka, India
[3] Kings Coll Hosp London, NIHR Wellcome Trust Kings Clin Res Facil, Wellcome Fdn Bldg, London SE5 9PJ, England
[4] Taipei Municipal Wanfang Hosp, Dept Neurol, Taipei, Taiwan
[5] Taipei Med Univ, Coll Med, Sch Med, Dept Neurol, Taipei, Taiwan
[6] Ghent Univ Hosp, Dept Neurol, Ghent, Belgium
[7] Natl Univ Hlth Syst, Natl Univ Hosp, Dept Med, Div Neurol, Singapore, Singapore
[8] Natl Univ Singapore, Yong Loo Lin Sch Med, Singapore, Singapore
[9] Univ Calif Los Angeles, Dept Neurol, Los Angeles, CA 90024 USA
来源
HEADACHE | 2022年 / 62卷 / 07期
关键词
chronic migraine; medication overuse headache; new daily persistent headache; MEDICATION-OVERUSE HEADACHE; INSIGHTS; FEATURES;
D O I
10.1111/head.14362
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objective To compare the clinical phenotype of patients with chronic migraine (CM) to patients with new daily persistent headache of the chronic migraine subtype (NDPH-CM). Methods A study was conducted of CM (n = 257) and NDPH-CM (n = 76) from a tertiary headache center in the UK, and in the US of patients with daily CM (n = 60) and NDPH-CM (n = 22). Results From the UK cohort, the age of first headache onset was lower in CM (mean +/- SD: 16 +/- 12 years) than in NDPH-CM (mean +/- SD: 23 +/- 14 years; p < 0.001). There was a greater number of associated migrainous symptoms in CM compared to NDPH-CM (median and interquartile range: 6, 5-8 vs. 5, 4-7; p < 0.001). A family history of headache was more common in CM compared to NDPH-CM (82%, 202/248, vs. 53%, 31/59; p < 0.001). In the US cohort there were no differences. Osmophobia (B = -1.08; p = 0.002) and older age at presentation to the clinic (B = -0.06; p = 0.001) were negative predictors of NDPH-CM. Conclusion NDPH-CM is relatively less migrainous than CM in the UK cohort. Family history of headache is less common in NDPH-CM, with negative predictors for NDPH-CM including osmophobia and older age of presentation to the clinic. More work is required to understand the chronic migraine phenotype of new daily persistent headache.
引用
收藏
页码:828 / 838
页数:11
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