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Headache and migraine in mitochondrial disease and its impact on life-results from a cross-sectional, questionnaire-based study.
- Source :
-
Acta neurologica Belgica [Acta Neurol Belg] 2021 Oct; Vol. 121 (5), pp. 1151-1156. Date of Electronic Publication: 2021 Mar 08. - Publication Year :
- 2021
-
Abstract
- Headache is frequent in patients with mitochondrial disorders. Previous studies point to a higher prevalence of headache in these patients than in the general population. As mitochondrial disorders often present a variety of other symptoms, the question arises how much the presence of headache really influences daily life. We performed a cross-sectional, questionnaire-based study investigation with 61 patients with a genetically proved mitochondrial disease mainly composed of CPEO phenotype. Headache was examined using a standardized questionnaire, and classified according to ICHD-2. Headache-related disability was evaluated by the Headache-Impact-Test-6 (HIT-6). Additionally, depression and anxiety were examined using the Hospital Anxiety and Depression Scale (HADS) and Short-Form-Health Survey (SF-12) was used to investigate the health-related quality of life. Headache was reported by 43/61 (70.5%) of the patients. 35/61 patients (57.4%) described a Tension-type headache (TTH) and 26 patients (42.6%) a migraine. Patients reporting headache had a significantly higher HIT-6 score than those without (mean: 54.47 vs. 38.47, pā<ā0.001). The HIT-6 score was significantly higher in patients reporting a migraine compared to those with a tension-type headache (mean: 62.13 vs. 46.18, pā<ā0.001). In the HADS score and in the SF-12 were not significantly influenced by the occurrence of headache. This study confirms the previously reported frequent occurrence of headache in a large cohort of patients with a confirmed mitochondrial disease. Migraine had the greatest impact on daily living, which appeared not to be confounded by depression and anxiety. Thus, we conclude that Migraine may be a substantial contributor for burden of disease in patients with mitochondrial diseases.<br /> (© 2021. The Author(s).)
- Subjects :
- Adult
Aged
Aged, 80 and over
Cross-Sectional Studies
Female
Headache epidemiology
Humans
Male
Middle Aged
Migraine Disorders epidemiology
Mitochondrial Diseases epidemiology
Prevalence
Surveys and Questionnaires
Young Adult
Headache etiology
Migraine Disorders etiology
Mitochondrial Diseases complications
Quality of Life
Subjects
Details
- Language :
- English
- ISSN :
- 2240-2993
- Volume :
- 121
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Acta neurologica Belgica
- Publication Type :
- Academic Journal
- Accession number :
- 33683636
- Full Text :
- https://doi.org/10.1007/s13760-021-01630-4