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- W2182743202 abstract "Background: Nausea is regarded as an essential element in the diagnosis of migraine. However, some patients with migraine do not experience nausea during their migraine attacks. These patients may show different clinical features that demand different management strategies. The authors evaluated how migraineurs without nausea differ from those with nausea in a headache clinic. Methods: This study enrolled 182 consecutive patients (156 female, 26 male) satisfying the International Classification of Headache Disorders-II criteria of migraine with or without aura from August 2009 to July 2011. Patients who overused medications were excluded. All enrolled patients underwent interviews using a structured questionnaire regarding demographic and clinical features performed by a neurologist specialized in headache disorders. Results: Of the 182 patients with migraine, 21 never experienced nausea during their migraine attacks (11.5%). These 21 patients were older and experienced a lower frequency of vomiting, osmophobia, and pulsating headache quality (p < 0.05). However, they did not differ from patients who usually suffered from nausea in terms of the presence of an aura, gender, body mass index, headache years, headache severity expressed on a visual analogue scale, Headache Impact Test-6 score, presence of family history, photophobia, or phonophobia. Conclusions: Migraineurs without nausea showed a tendency to be older and experience less vomiting and osmophobia, and their headache was usually dull and aching rather than pulsating. These results suggest that migraine-associated symptoms have peculiar characteristics that require elucidation by further studies in terms of their clinical significance and role in migraine pathophysiology." @default.
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- W2182743202 date "2015-05-07" @default.
- W2182743202 modified "2023-09-26" @default.
- W2182743202 title "Migraineurs without nausea: how do they differ from migraineurs with nausea?" @default.
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