한국인 조짐편두통의 임상 특성 = Clinical Characteristics of Migraine with Aura in Korean: a Clinic Based Study

다국어 초록 (Multilingual Abstract)

Background: Several population- and clinic-based studies have investigated the clinical characteristics of migraine with aura in Western countries. However, migraine with aura has not been investigated in Korea or other Asian countries. The aim of this study was to determine the frequency and characteristics of migraine with aura in Korea.
Methods: We consecutively recruited patients with migraine from 2010 to 2014 in the Eulji Headache Clinic. Migraines with and without aura were diagnosed according to the International Classification of Headache Disorders-II criteria based on a clinical interview and structured questionnaire.
Results: In total, 97 (35% males and 65% females) and 649 (12% males and 88% females) patients were diagnosed as migraines with and without aura, respectively. Visual aura was the most common type of aura (94%) among patients with migraine with aura, followed by sensory aura (6%) and then speech aura, retinal aura, and brainstem aura (each 3%). The most frequently accompanying headache type was migraine (77%), followed by nonmigraine headache (17%), with no headache presenting in 6% of patients. Migraine without aura was the most common headache (61%) outside of migraine with aura, followed by nonmigraine headache (14%).
Conclusions: Only 13% of migraineurs have aura symptoms. Nonvisual aura symptoms are rare in Korean patients with migraine with aura.

참고문헌 (Reference)

1 Eriksen MK, "The Visual Aura Rating Scale (VARS) for migraine aura diagnosis" 25 : 801-810, 2005

2 Headache Classification Committee of the International Headache S, "The International Classification of Headache Disorders" 33 : 645-650, 2013

3 Russell MB, "Prevalence and sex-ratio of the subtypes of migraine" 24 : 612-618, 1995

4 Bana DS, "Observations on prodromes of classic migraine in a headache clinic population" 26 : 216-219, 1986

5 Eriksen MK, "New international classification of migraine with aura (ICHD-2) applied to 362 migraine patients" 11 : 583-591, 2004

6 Hill DL, "Most cases labeled as "retinal migraine" are not migraine" 27 : 3-8, 2007

7 Rasmussen BK, "Migraine with aura and migraine without aura: an epidemiological study" 12 : 221-228, 1992

8 Cutrer FM, "Migraine aura" 13 : 118-125, 2007

9 Tfelt-Hansen PC, "History of migraine with aura and cortical spreading depression from 1941 and onwards" 30 : 780-792, 2010

10 Lauritzen M, "Cortical spreading depression in migraine" 21 : 757-760, 2001

11 Eriksen MK, "Clinical characteristics of 362 patients with familial migraine with aura" 24 : 564-575, 2004

12 Manzoni GC, "Classic migraine--clinical findings in 164 patients" 24 : 163-169, 1985

13 Stewart WF, "Age- and sex-specific incidence rates of migraine with and without visual aura" 134 : 1111-1120, 1991

14 Russell MB, "A nosographic analysis of the migraine aura in a general population" 119 : 355-361, 1996

15 Horev A, "A high incidence of migraine with aura among morbidly obese women" 45 : 936-938, 2005