CRITERIA FOR THE DIAGNOSIS OF MIGRAINE IN CLINICAL-PRACTICE

被引:32
作者
SOLOMON, S
LIPTON, RB
机构
[1] MONTEFIORE MED CTR,HEADACHE UNIT,BRONX,NY 10467
[2] YESHIVA UNIV ALBERT EINSTEIN COLL MED,DEPT NEUROL,BRONX,NY 10461
[3] YESHIVA UNIV ALBERT EINSTEIN COLL MED,DEPT PSYCHIAT,BRONX,NY 10461
来源
HEADACHE | 1991年 / 31卷 / 06期
关键词
MIGRAINE; DIAGNOSIS;
D O I
10.1111/j.1526-4610.1991.hed3106384.x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Criteria for the diagnosis of migraine have evolved from generalized descriptions to specific rules designed to ensure the selection of homogenous groups of patients for research studies. For clinical practice, the former are insufficiently specific and the latter are too complex. For care of headache patients by primary care physicians, we propose that the diagnosis of migraine without aura (common migraine) is warranted if any two of the following symptoms are present: unilateral site, throbbing quality, nausea, photophobia or phonophobia. These criteria are derived from a study comparing the features of 100 patients with migraine without aura and 100 patients with chronic daily headache. The proposed criteria for the diagnosis of migraine without aura were highly sensitive and adequately specific in discriminating groups. These simple criteria should facilitate the diagnosis of migraine by primary care physicians.
引用
收藏
页码:384 / 387
页数:4
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