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Differences in Topographical Pressure Pain Sensitivity Maps of the Scalp Between Patients With Migraine and Healthy Controls

Objective To investigate differences in topographical pressure pain sensitivity maps of the scalp between patients with migraine and healthy controls considering the chronicity (episodic/chronic) and side (strictly unilateral/bilateral) of the symptoms. Background It seems that the trigeminal area i...

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Bibliographic Details
Published in:Headache 2017-02, Vol.57 (2), p.226-235
Main Authors: Barón, Johanna, Ruiz, Marina, Palacios‐Ceña, María, Madeleine, Pascal, Guerrero, Ángel L., Arendt‐Nielsen, Lars, Fernández‐de‐las‐Peñas, César
Format: Article
Language:English
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Summary:Objective To investigate differences in topographical pressure pain sensitivity maps of the scalp between patients with migraine and healthy controls considering the chronicity (episodic/chronic) and side (strictly unilateral/bilateral) of the symptoms. Background It seems that the trigeminal area is sensitized in migraine. No study has investigated topographical pressure sensitivity maps of the scalp in patients with migraine. Methods Pressure pain thresholds (PPTs) were assessed from 21 points distributed over the scalp in 86 patients with episodic migraine, 76 with chronic migraine, and 42 healthy age and matched healthy controls in a blinded design. Topographical pressure pain sensitivity maps based on interpolation of the PPTs were constructed. Clinical features of migraine, anxiety, and depression (Hospital Anxiety and Depression Scale, HADS) were collected. Results The multivariate ANCOVA revealed significant differences in PPT between points (F = 55.674; P  .417). An anterior to posterior gradient was found, with the lowest PPTs located in frontal regions and the highest PPTs in occipital areas (all groups, P 
ISSN:0017-8748
1526-4610
DOI:10.1111/head.12984