Osmophobia in juvenile primary headaches

被引:36
作者
Corletto, E. [1 ]
Dal Zotto, L. [1 ]
Resos, A. [1 ]
Tripoli, E. [1 ]
Zanchin, G. [2 ]
Bulfoni, C. [1 ]
Battistella, P. A. [1 ]
机构
[1] Univ Padua, Sch Med, Dept Paediat, Juvenile Headache Ctr,Paediat Neurol & Psychiat U, I-35128 Padua, Italy
[2] Univ Padua, Sch Med, Dept Neurosci, Headache Ctr, I-35128 Padua, Italy
关键词
classification of headaches; juvenile primary headaches; migraine; osmophobia; tension-type headache;
D O I
10.1111/j.1468-2982.2008.01589.x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
This study was planned to investigate the prevalence of osmophobia in juvenile headache sufferers and to analyse the diagnostic utility of osmophobia in order to distinguish migraine without aura from episodic tension-type headache. We examined 305 consecutive patients presenting at our Paediatric Headache Centre. A semistructured questionnaire was given to 275 selected patients affected by migraine or tension-type headache. The prevalence of osmophobia during attacks was 18.5%, mainly in migraine patients (25.1%) vs. those with tension-type headache (8.3%). Osmophobia showed more specificity than phonophobia or photophobia in the differential diagnosis between migraine and tension-type headache. In conclusion, this study demonstrates that osmophobia resulted in a symptom with poor sensitivity (27.1%) but high specificity (92%) that could become a supportive diagnostic criterion even in children for the differential diagnosis between migraine without aura and tension-type headache.
引用
收藏
页码:825 / 831
页数:7
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