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Side‐Locked Unilaterality and Pain Localization in Long‐Lasting Headaches: Migraine, Tension‐Type Headache, and Cervicogenic Headache
Author(s) -
D'Amico Domenico,
Leone Massimo,
Bussone Gennaro
Publication year - 1994
Publication title -
headache: the journal of head and face pain
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.14
H-Index - 119
eISSN - 1526-4610
pISSN - 0017-8748
DOI - 10.1111/j.1526-4610.1994.hed3409526.x
Subject(s) - cervicogenic headache , migraine , medicine , headaches , tension headache , anesthesia , surgery
SYNOPSIS Side‐locked unilaterality and specific localization of pain are not as well‐defined clinical characteristics in long‐lasting headaches (duration more than 4 hours) as they are in short‐lasting forms. We examined side‐locked unilaterality and pain distribution at onset and at peak headache in 74 patients with different forms of long‐lasting headache: migraine and tension‐type headache (IHS) and cervicogenic headache (according to Sjaastad et al). Side‐locked unilaterality of pain was found in all forms, but to differing extents‐20.8% in migraine, 12.5% in tension‐type headache, while it was a mandatory criterion for cervicogenic headache. The pain tended to localize anteriorly, particularly at onset, in migraine; was more diffuse in tension‐type headache; and always began in the occipitonuchal region in cervicogenic headache. Our results may contribute to a better clinical definition of long‐lasting headaches.