MỘT SỐ ĐẶC ĐIỂM LÂM SÀNG CỦA CƠN ĐAU NỬA ĐẦU MIGRAINE CẤP TÍNH Ở PHỤ NỮ 18 ĐẾN 50 TUỔI

Abstract

Objective: We analyzed certain clinical characteristics of acute migraine attacks in female patients aged 18 to 50 years. Subjects and Methods: Sixty female patients aged 18 to 50 years, treated at the Neurology Center, Bach Mai Hospital, were diagnosed with migraine based on the International Classification of Headache Disorders (ICHD-3) criteria. Results: The average age of onset was 32.22 ± 8.294 years. Migraine with aura accounted for 15%, with visual aura in 11.7% and sensory aura in 3.3%. Symptoms such as pulsating headache, accompanied by nausea and/or vomiting, photophobia, phonophobia, pain worsening with physical activity, olfactory hypersensitivity, irritability, autonomic neurological symptoms, and insomnia were present in 56.7%, 83.3%, 85%, 68.3%, 80%, 76.7%, 31.7%, 77.3%, 35%, and 60% of cases, respectively. Headache intensity was moderate in 46.7% and severe in 53.3% of patients. There was a correlation between BMI groups (<23 and ≥23) and associated symptoms such as increased pain with physical activity (p=0.021; OR=4.767), irritability (p=0.002; OR=0.132), and insomnia (p=0.02; OR=0.283). Additionally, intellectual workers were associated with migraine symptoms (p=0.043; OR=3.316) and insomnia (p=0.001; OR=0.143). Conclusion: Acute migraine attacks in women aged 18 to 50 years are predominantly without aura and of severe intensity, accompanied by a wide range of symptoms.