We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Osmophobia in migraine classification: A multicentre study in juvenile patients.
- Authors
De Carlo, D; Dal Zotto, L; Perissinotto, E; Gallo, L; Gatta, M; Balottin, U; Mazzotta, G; Moscato, D; Raieli, V; Rossi, LN; Sangermani, R; Soriani, S; Termine, C; Tozzi, E; Vecchio, A; Zanchin, G; Battistella, PA
- Abstract
Aims: This study was planned to investigate the diagnostic utility of osmophobia as criterion for migraine without aura (MO) as proposed in the Appendix (A1.1) of the International Classification of Headache Disorders (ICHD-II, 2004).Methods: We analysed 1020 patients presenting at 10 Italian juvenile headache centres, 622 affected by migraine (M) and 328 by tension-type headache (TTH); 70 were affected by headache not elsewhere classified (NEC) in ICHD-II. By using a semi-structured questionnaire, the prevalence of osmophobia was 26.9%, significantly higher in M than TTH patients (34.6% vs 14.3%).Results: Osmophobia was correlated with: (i) family history of M and osmophobia; and (ii) other accompanying symptoms of M. By applying these ‘new’ criteria, we found an agreement with the current criteria for the diagnosis of migraine without aura (MO) in 96.2% of cases; 54.3% of previously unclassifiable patients received a ‘new’ diagnosis.Conclusions: In conclusion, this study demonstrates that this new approach, proposed in the Appendix (A1.1), appears easy to apply and should improve the diagnostic standard of ICHD-II in young patients too.
- Subjects
HEADACHE clinics; MIGRAINE in children; SMELL; PHOBIAS; MIGRAINE diagnosis
- Publication
Cephalalgia, 2010, Vol 30, Issue 12, p1486
- ISSN
0333-1024
- Publication type
Article
- DOI
10.1177/0333102410362928