Navegando por Palavras-chave "Migraine disorders"
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- ItemSomente MetadadadosAdolescents with chronic migraine commonly exhibit depressive symptoms(Springer, 2013-03-01) Arita, Juliana Harumi [UNIFESP]; Lin, Jaime [UNIFESP]; Pinho, Ricardo Silva [UNIFESP]; Cianciarullo Minett, Thais Soares; Souza Vitalle, Maria Sylvia de [UNIFESP]; Fisberg, Mauro [UNIFESP]; Prieto Peres, Mario Fernando [UNIFESP]; Pereira Vilanova, Luiz Celso [UNIFESP]; Masruha, Marcelo Rodrigues [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Univ Cambridge; Hosp Israelita Albert EinsteinPsychiatric comorbidity in patients with headache contributes to poorer prognosis, chronification of disease, poor response to treatment, increased cost of treatment, and decreased quality of life. the purpose of the present study was to evaluate the depressive symptoms in adolescents with chronic and episodic migraines and healthy adolescents. the study was performed between November 2010 and November 2011. All patients completed a detailed headache questionnaire comprising of demographical and clinical data and were instructed to fill out a headache diary over a 2-month period. the subjects ranged in age from 13 to 19 years. To evaluate depression symptoms, all of the subjects were asked to fill out the Beck Depression Inventory (BDI). A total of 137 participants were evaluated; 44 had episodic migraine (EM), 46 had chronic migraine (CM) and 47 were control subjects. Patients with a history of chronic migraine had significantly higher scores on the BDI than the other participants. Patients with chronic migraine had BDI scores that were 8.8 points higher than controls [95 % CI (beta) = 5.0, 12.6] and 5.8 points higher than patients with EM [95 % CI (beta) = 2.2, 9.4]. the main finding of this study was that chronic migraine is strongly associated with depression symptoms, regardless of demographic data. Comorbid depression may increase the total burden of migraine and diagnosis and treatment of depression in adolescents with migraine is likely to result in a better prognosis.
- ItemAcesso aberto (Open Access)Atenção visual em crianças com migrânea: um estudo comparativo controlado(Universidade Federal de São Paulo (UNIFESP), 2011-06-29) Villa, Thaís Rodrigues [UNIFESP]; Gabbai, Alberto Alain [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Objective: To evaluate the visual attention of children with migraine and compare to the headache free control group. Method: 30 children with migraine, with (n=5) and without aura (n=25), which fulfill the gInternational Headache Society (ICHD-II, 2004) h criteria, 15 female, ages 8 to 12 years and 11 months (average=10.8 }1.5 years), with an average of 5.8 } 3.2 attacks/month, lasting up to 24 hours, and 30 control subjects without headache, 14 female, average age 9,9 }1.3 years. Method of assessment of visual attention: Trail Making Test (TMT) A/B, Letter Cancellation Test, and the computerized test Visual Attention Test . 3rd edition (TAVIS-3) which evaluates reaction time, omission and action errors through subtests of selective (task1), alternate (task2), and sustained attention (task3). Migraine group were evaluated after two days without headache. Exclusion criteria: other systemic diseases, altered neurological examination, psychiatric disorders, learning disorders, epilepsy, head trauma, use of medication (including migraine prophylaxis), and an Intelligence Quotient (IQ) < 80, measured by Wechsler Intelligence Scale 3rd edition. Statistical analysis: Student fs t test and Mann-Whitney fs test, Confidence Interval of 95% (p.0.05). Results: Children with migraine had inferior performance compared to the control group on TMT A (p=0.03) and B (p=0.001), and more action errors on tasks 1 (p=0.032) and 2 (p=0.015) of TAVIS-3, presenting difficulty with selective and alternate attention. Discussion: Attention is a complex neurologic function which depends on structures such as the brain stem, cerebral cortex, and the limbic system and on neurotransmitters such as dopamine and noradrenaline. Conclusion: The neurochemical aspects involved in the physiopathology of migraine and attention mechanisms probably predispose these children to visual attention deficits.
- ItemAcesso aberto (Open Access)Equilíbrio corporal à posturografia estática na migrânea vestibular(Universidade Federal de São Paulo (UNIFESP), 2017-02-13) Gorski, Leslie Palma [UNIFESP]; Gananca, Heloisa Helena Caovilla Malavasi [UNIFESP]; http://lattes.cnpq.br/1050567032375329; http://lattes.cnpq.br/0140379499804626; Universidade Federal de São Paulo (UNIFESP)PURPOSE: to evaluate the body balance of patients with vestibular migraine on static posturography. METHOD: An experimental group of 31 patients with medical diagnosis of vestibular migraine in the intercritical period of the condition and a control group of 31 healthy individuals matched for age and sex were submitted to Tetrax Interactive Balance System (Tetrax IBS) Postography in eight sensory conditions. The parameters analyzed were: stability index - measures the amount of oscillation, overall stability and ability to compensate for postural modifications; Weight distribution index - compares deviations in weight distribution; Synchronization index - measures the symmetry in the weight distribution; Postural oscillation frequency - indicates the frequency range with more oscillation; and Fall risk index - expresses the likelihood of falls. RESULTS: The stability index was higher in the experimental group in all eight conditions, with a significant difference between the groups in six of them. The weight distribution index was higher in the experimental group in all conditions, with a significant difference in three of them. The postural oscillation values were higher in the experimental group in all frequency ranges in the eight sensory conditions with a significant difference in F1 in one condition, in F2-F4 in six, in F5-F6 in five, and in F7-F8 in two. The number of cases with preferential oscillation in F2-F4 was significantly higher in the experimental group in three conditions and in F5-F6 in two. The falling risk in the experimental group was significantly higher than the control group. CONCLUSION: Patients with vestibular migraine present in static posturography impairment of body balance.
- ItemAcesso aberto (Open Access)Vestibular migraine: clinical and epidemiological aspects(Assoc Brasileira Otorrinolaringologia & Cirurgia Cervicofacial, 2016) Goncalves Morganti, Ligia Oliveira [UNIFESP]; Salmito, Marcio Cavalcante [UNIFESP]; Duarte, Juliana Antoniolli [UNIFESP]; Sumi, Karina Cavalcanti [UNIFESP]; Simoes, Juliana Caminha [UNIFESP]; Gananca, Fernando Freitas [UNIFESP]Introduction: Vestibular migraine (VM) is one of the most often common diagnoses in neurotology, but only recently has been recognized as a disease. Objective: To analyze the clinical and epidemiological profile of patients with VM. Methods: This was a retrospective, observational, and descriptive study, with analysis of patients' records from an outpatient VM clinic. Results: 94.1% of patients were females and 5.9% were males. The mean age was 46.1 years