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Osmophobia in primary headaches.
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MedLine Citation:
PMID:  16362667     Owner:  NLM     Status:  MEDLINE    
This study evaluates osmophobia (defined as an unpleasant perception, during a headache attack, of odours that are non-aversive or even pleasurable outside the attacks) in connection with the diagnosis of primary headaches. We recruited 775 patients from our Headache Centre (566 females, 209 males; age 38+/-12 years), of whom 477 were migraineurs without aura (MO), 92 with aura (MA), 135 had episodic tension-type headache (ETTH), 44 episodic cluster headache (ECH), 2 chronic paroxysmal hemicrania (CPH) and 25 other primary headaches (OPHs: 12 primary stabbing headaches, 2 primary cough headaches, 3 primary exertional headaches, 2 primary headaches associated with sexual activity, 3 hypnic headaches, 2 primary thunderclap headaches and 1 hemicrania continua). Among them, 43% with MO (205/477), 39% with MA (36/92), and 7% with CH (3/44) reported osmophobia during the attacks; none of the 135 ETTH and 25 OPH patients suffered this symptom. We conclude that osmophobia is a very specific marker to discriminate adequately between migraine (MO and MA) and ETTH; moreover, from this limited series it seems to be a good discriminant also for OPHs, and for CH patients not sharing neurovegetative symptoms with migraine. Therefore, osmophobia should be considered a good candidate as a new criterion for the diagnosis of migraine.
Giorgio Zanchin; Filippo Dainese; Federico Mainardi; Edoardo Mampreso; Chiara Perin; Ferdinando Maggioni
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The journal of headache and pain     Volume:  6     ISSN:  1129-2369     ISO Abbreviation:  J Headache Pain     Publication Date:  2005 Sep 
Date Detail:
Created Date:  2005-12-19     Completed Date:  2006-01-24     Revised Date:  2012-11-30    
Medline Journal Info:
Nlm Unique ID:  100940562     Medline TA:  J Headache Pain     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  213-5     Citation Subset:  IM    
Headache Centre, Department of Neurosciences, University of Padua, Padua, Italy.
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MeSH Terms
Cluster Headache / complications
Headache Disorders, Primary / complications*
Middle Aged
Migraine with Aura / complications
Migraine without Aura / complications
Olfaction Disorders / etiology*
Phobic Disorders / etiology*
Tension-Type Headache / complications

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Full Text
Journal Information
Journal ID (nlm-ta): J Headache Pain
Journal ID (iso-abbrev): J Headache Pain
ISSN: 1129-2369
ISSN: 1129-2377
Publisher: Springer-Verlag, Milan
Article Information
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© Springer-Verlag Italia 2005
Electronic publication date: Day: 20 Month: 7 Year: 2005
Print publication date: Month: 9 Year: 2005
Volume: 6 Issue: 4
First Page: 213 Last Page: 215
PubMed Id: 16362667
ID: 3451998
Publisher Id: 188
DOI: 10.1007/s10194-005-0188-8

Osmophobia in primary headaches
G. ZanchinAff1 Address: +39-049-8211702 +39-049-8272335
F. DaineseAff1
F. MainardiAff1
E. MampresoAff1
C. PerinAff1
F. MaggioniAff1
Headache Centre, Department of Neurosciences, University of Padua, Padua, Italy

Article Categories:
  • Ichd—II Evaluation and Proposals

Keywords: Key words Osmophobia, Migraine, Primary headaches, International Headache Classification.

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