Cephalalgia : an international journal of headache · 2007
Clinical features of probable medication-overuse headache: a retrospective study in Japan.
Клиническое исследованиеСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Imai N, Kitamura E, Konishi T, Suzuki Y, Serizawa M, Okabe T
Аннотация
This study examined the clinical picture of probable medication-overuse headache (MOH) and the presence of any features peculiar to Japan. In a retrospective study of 47 patients, type of primary headache, type of medicine overused, method and result of withdrawal were investigated. Among the 47 patients, 80.9% had migraine only, and 85.1% overused combination medications. While 36 patients (76.6%) succeeded in withdrawal, five patients (10.6%) failed. One patient (2.1%) had not improved by 2 months after withdrawal and was diagnosed with chronic migraine and chronic tension-type headache without MOH. The remaining five patients (10.6%) dropped out. All dropout patients were recommended abrupt inpatient withdrawal, but chose abrupt outpatient withdrawal. As features peculiar to Japan, many patients with probable MOH overused combination analgesics, particularly females.