Side-locked unilaterality and pain localization in long-lasting headaches: Migraine, tension-type headache, and cervicogenic headache

D. D'Amico, M. Leone, G. Bussone

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)526-530
Number of pages5
JournalHeadache
Volume34
Issue number9
DOIs
Publication statusPublished - 1994

Keywords

  • cervicogenic headache
  • localization of pain
  • long-lasting headache
  • migraine
  • side-locked unilaterality
  • tension-type headache

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

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