Poor patient awareness and frequent misdiagnosis of migraine: findings from a large transcontinental cohort

作者：Michele Viana, Fazli Khaliq, Chiara Zecca, M. Figuerola, Grazia Sances, Vittorio Di Piero, Barbara Petolicchio, Michele Alessiani, Pierangelo Geppetti, Chiara Lupi, Silvia Benemei, Rosario Iannacchero, Ferdinando Maggioni, Mauro Eduardo Jurno, S. Odobescu, E. Chiriac, Alejandro Marfil-Rivera, Filippo Brighina, N. Barrientos Uribe, C. Pérez Lago, Carlos Alberto Bordini, Franco Lucchese, Vanessa Tello Maffey, Giuseppe Nappi, Giorgio Sandrini, Cristina Tassorelli · 发表于：European Journal of Neurology · 年份：2019 · DOI：10.1111/ene.14098 · 被引用次数：120 · 研究领域：Migraine and Headache Studies、Neurological Complications and Syndromes、Traumatic Brain Injury and Neurovascular Disturbances

BACKGROUND AND PURPOSE: Although migraine is the second most disabling condition worldwide, there is poor awareness of it. The objective was to assess the awareness of migraine and previous diagnostic and therapeutic consultations and treatments in a large international population of migraineurs. METHODS: This was a multicentre study conducted in 12 headache centres in seven countries. Each centre recruited up to 100 patients referred for a first visit and diagnosed with migraine. Subjects were given a structured clinical questionnaire-based interview about the perceptions of the type of headache they suffered from, its cause, previous diagnoses, investigations and treatments. RESULTS: In all, 1161 patients completed the study. Twenty-eight per cent of participants were aware that they suffered from migraine. Sixty-four per cent called their migraine 'headache'; less commonly they used terms such as 'cervical pain' (4%), tension headache (3%) and sinusitis (1%). Eight per cent of general practitioners and 35% of specialists (of whom 51% were neurologists and/or headache specialists) consulted for migraine formulated the correct diagnosis. Before participating in the study, 50% of patients had undergone X-ray, computed tomography and/or magnetic resonance imaging of the cervical spine and 76% underwent brain and/or cervical spine imaging for migraine. Twenty-eight per cent of patients had received symptomatic migraine-specific medications and 29% at least one migraine preventi...