Frequent comorbid diseases and assessment of disability in chronic and episodic migraine

Institutul Neurologie şi Neurochirurgie din RMComorbid disorders (CD) might have an influence on migraine progression and complicate its clinical evolution. We have studied two groups of patients: I - 93 patients with chronic migraine (CM) and II - 441 patients with episodic migraine (EM). Anxiety, depression, sleep disorders and comorbid pain were the most common CD in both groups. Generalized anxiety was observed in 97.8% of CM vs. 98.4% of EM patients. Panic attacks were noted in a significantly higher number of CM patients as compared with EM (44.4% vs. 24.9%, p<0.001). Headache impact on activities of daily living as assessed by MIDAS and HIT-6 questionnaires was significantly more important in CM in comparison with EM patients. Tulburările comorbide (TC) pot influenţa progresia migrenei şi complica evoluţia ei clinică. Au fost cercetate TC în 2 loturi de pacienţi: I – 93 pacienţi cu migrenă cronică (MC) şi II - 441 pacienţi cu migrenă episodică (ME). Anxietatea, depresia, tulburările de somn şi durerea comorbidă au fost cele mai frecvente TC depistate în ambele loturi. Anxietatea generalizată s-a înregistrat la 97,8% pacienţi cu MC vs. 98,4% pacienţi cu ME. Atacurile de panică s-au manifestat la un număr statistic semnificativ mai mare de pacienţi cu MC în comparaţie cu cei cu ME (44,4% vs. 24,9%, p