Academic Journal
Sensitivity and specificity of the new international diagnostic criteria for migraine with aura
| العنوان: | Sensitivity and specificity of the new international diagnostic criteria for migraine with aura |
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| المؤلفون: | Eriksen, M K, Thomsen, L L, Olesen, J |
| بيانات النشر: | British Medical Journal Publishing Group |
| سنة النشر: | 2005 |
| المجموعة: | HighWire Press (Stanford University) |
| مصطلحات موضوعية: | Papers |
| الوصف: | Objectives: Since 1998, migraine with aura (MA) has been diagnosed according to the operational diagnostic criteria of the International Headache Society (ICHD-1). Here we present the data underlying the new criteria for MA in the ICHD-2 classification. Methods: Sensitivity of the new criteria was tested in patients with MA and specificity in patients with reversible non-aura visual disturbances. The diagnoses in both groups of patients were made in a validated semistructured physician-conducted interview. We tested five sets of criteria for sensitivity and specificity comparing with the diagnosis according to the ICHD-1 in 200 patients and the selected set of criteria in 274 additional patients. Results: Four sets of criteria had sensitivity/specificity of 46%/100%, 71%/100%, 62%/95%, and 99%/76%. Sensitivity of the selected set of criteria was 84% (95% CI 79% to 90%) and specificity 97% (95% CI 95% to 99%). According to these criteria at least two of the following should be fulfilled: homonymous visual or unilateral sensory symptoms; at least one aura symptom develops gradually over ⩾5 minutes and/or different symptoms occur in succession over ⩾5 minutes; each symptom lasts ⩾5 and ⩽60 minutes. In the additional sample sensitivity of the selected criteria was 90% (95% CI 86% to 94%) and specificity 96% (95% CI 91% to 100%). Conclusions: The diagnostic criteria for MA selected for ICHD-2 had high sensitivity and specificity. The ICHD-2 criteria are more operational and probably delineate a more homogeneous sample of patients than the ICHD-1. The ICHD-2 for MA is intended equally for research and clinical practice and can be used at different levels of specialisation. |
| نوع الوثيقة: | text |
| وصف الملف: | text/html |
| اللغة: | English |
| Relation: | http://jnnp.bmj.com/cgi/content/short/76/2/212; http://dx.doi.org/10.1136/jnnp.2004.037853 |
| DOI: | 10.1136/jnnp.2004.037853 |
| الاتاحة: | http://jnnp.bmj.com/cgi/content/short/76/2/212 https://doi.org/10.1136/jnnp.2004.037853 |
| Rights: | Copyright (C) 2005, BMJ Publishing Group Ltd |
| رقم الانضمام: | edsbas.E31BFBFE |
| قاعدة البيانات: | BASE |
| DOI: | 10.1136/jnnp.2004.037853 |
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