engleski

Precipitating events and accompanying symptoms in migraine and TGA

According to the hypothesis of the same patophysiological mechanism of migraine and TGA our intention was to determinate common precipitating events and accompanying symptoms during migraine and TGA attacks. 33 migraineurs, 25 female and 8 male (mean age 45.73 years) and 33 patients with TGA, 24 female and 9 male (mean age 60.39 years) were examined. Patients underwent the following laboratory tests: EEG (26 patients), cerebral CT (19 patients) and SPECT (6 patients). Detailed anamnesis and heteroanamnesis were taken which included information about precipitating events and accompanying symptoms. The results showed that the most often precipitants in migraineurs and in TGA patients were: physical exercise (18.2% vs. 15.2%), emotional stress (63.6% vs. 30.3%), and cold bath (6.1% vs. 12.1%), sexual intercourse only in TGA group (6.1%). Spontaneous onset had 1.2% migraineurs and 36.4% TGA patients ; the most often accompanying symptoms were vegetative symptoms (90.0% vs. 24.2%), headache (100% vs. 24.2%), and vertigo (3.0% vs. 12.1%) and photo/phonophobia only in migraineurs (63.5%). 12.1% migraineurs and 39.4% TGA patients were without these symptoms. Our results are in concordance with results other authors confirming the presence of the same common precipitants and accompanying symptoms in migraine and TGA.

Migraine; Transient global amnesia

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