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The peculiar diagnostic approach of migraine in patients with histrionic personality disorders

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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


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  • MedEspera 2010
    The 3rd International Medical Congress for Students and Young Doctors, May 19-21, 2010

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