dc.contributor.author |
Voiticovschi-Iosob, Cristina |
|
dc.contributor.author |
Concescu, Diana |
|
dc.contributor.author |
Guranda, Catalina |
|
dc.date.accessioned |
2022-02-18T09:38:19Z |
|
dc.date.available |
2022-02-18T09:38:19Z |
|
dc.date.issued |
2010 |
|
dc.identifier.citation |
VOITICOVSCHI-IOSOB, Cristina, CONCESCU, Diana, GURANDA, Catalina. The peculiar diagnostic approach of migraine in patients with histrionic personality disorders. In: MedEspera: the 3rd Internat. Medical Congress for Students and Young Doctors: abstract book. Chișinău: S. n., 2010, p. 41. |
en_US |
dc.identifier.uri |
http://repository.usmf.md/handle/20.500.12710/20205 |
|
dc.description.abstract |
Migraine (M) in patients with hysteria was reported by different authors, but their
pathogenetic interaction remains unclear. M diagnosis, due to exclusively subjective criteria, is
sometimes difficult to establish in histrionic personality disorders (HPD) associated with conversion
disorders (CD) and somatoform disorders (SD). Analysis of clinical features of M in HPD patients
and the settlement of specific additional diagnostic support to increase the diagnostic certainty of M.
Methods: The study included 31 female patients, average age - 41.8 years, referred to the Headache
Center (HC) with a diagnosis of M. The M clinical diagnosis in the HC was based on the International
Classification of Headache Disorders criteria (ICHD-2004). The HPD, CD, SD diagnoses were
confirmed according to DSM-IV criteria. Additionally, we have practiced discussions with relatives
concerning the patients’ verbal and non-verbal behaviour, repeated discussions with patients about M
history in different psychological context, and a detailed analysis of medical documentation. All the
patients met the criteria of HPD: 12 associated with CD, 19 - with SD. M was present in 25 patients
(80.6%), 6 (19.4%) had tension-type headache. Four patients had episodic probable M, 7 - episodic
M (3 with aura) and 14 - chronic M (4 with medication overuse). In 6 patients M attacks coincided
with CD and SD exacerbation, usually within a psychogenic context. Headache, including migraine,
in patients with HPD and other hysterical phenomena, raise diagnostic problems. The use of a larger
diagnostic approach, parallel to ICHD-2004, considerably enhances the M diagnostic certainty. |
en_US |
dc.language.iso |
en |
en_US |
dc.publisher |
Nicolae Testemitanu State Medical and Pharmaceutical University |
en_US |
dc.relation.ispartof |
MedEspera: The 3rd International Medical Congress for Students and Young Doctors, May 19-21, 2010, Chisinau, Republic of Moldova |
en_US |
dc.title |
The peculiar diagnostic approach of migraine in patients with histrionic personality disorders |
en_US |
dc.type |
Other |
en_US |