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Giorgio Zanchin - One of the best experts on this subject based on the ideXlab platform.
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A prospective study on Osmophobia in migraine versus tension-type headache in a large series of attacks.
Cephalalgia : an international journal of headache, 2019Co-Authors: Alberto Terrin, E. Mampreso, Ferdinando Maggioni, Federico Mainardi, Carlo Lisotto, Matteo Fuccaro, Giorgio ZanchinAbstract:BackgroundIn literature, Osmophobia is reported as a specific migrainous symptom with a prevalence of up to 95%. Despite the International Classification of Headache Disorders 2nd edition proposal ...
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A lost track in ICHD 3 beta: A comprehensive review on Osmophobia.
Cephalalgia : an international journal of headache, 2016Co-Authors: Giorgio Zanchin, P.a. Battistella, Federico Mainardi, Matteo Fuccaro, Mario Ermani, Ferdinando MaggioniAbstract:BackgroundOsmophobia (Os) has been reported to be much more prevalent in migraine (M) than in other primary headaches, and its high specificity in the differential diagnosis between M and tension-t...
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Osmophobia in adult and juvenile headache patients
Journal of Headache and Pain, 2015Co-Authors: Giorgio ZanchinAbstract:Osmophobia (Os), defined as a perception of odors as unbearable during the headache attacks, has been described since ancient times as an accompanying symptom of migraine. More recently authors demonstrated that Os is much more relevant in migraine patients (M), with (MA) or without aura (MO), than in various primary headaches (PH). It has also been put in evidence that Os is very specific in the differential diagnosis between M and tension-type headache (TTH). Consequently, the 2004 edition of ICHD included in the Appendix (A1.1) Os among the proposed alternative diagnostic criteria of MO. In January 2013, a provisional revised version (ICHD-3 beta) of the previously released classification was offered for the approval of the scientific community. In this version Os disappeared from the Appendix, without any explanation.
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Osmophobia in juvenile primary headaches.
Cephalalgia : an international journal of headache, 2008Co-Authors: E Corletto, L. Dal Zotto, A Resos, E Tripoli, Giorgio Zanchin, C Bulfoni, P.a. BattistellaAbstract:This study was planned to investigate the prevalence of Osmophobia in juvenile headache sufferers and to analyse the diagnostic utility of Osmophobia in order to distinguish migraine without aura from episodic tension-type headache. We examined 305 consecutive patients presenting at our Paediatric Headache Centre. A semistructured questionnaire was given to 275 selected patients affected by migraine or tension-type headache. The prevalence of Osmophobia during attacks was 18.5%, mainly in migraine patients (25.1%) vs. those with tension-type headache (8.3%). Osmophobia showed more specificity than phonophobia or photophobia in the differential diagnosis between migraine and tension-type headache. In conclusion, this study demonstrates that Osmophobia resulted in a symptom with poor sensitivity (27.1%) but high specificity (92%) that could become a supportive diagnostic criterion even in children for the differential diagnosis between migraine without aura and tension-type headache.
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Osmophobia in migraine and tension type headache and its clinical features in patients with migraine
Cephalalgia, 2007Co-Authors: Giorgio Zanchin, F. Dainese, F. Mainardi, E. Mampreso, M Trucco, Ferdinando MaggioniAbstract:Intolerance to smell is often reported by migraine patients. This study evaluates Osmophobia in connection with the diagnosis of migraine and episodic tension-type headache (ETTH). The characteristics of this symptom are also investigated. We recruited from our Headache Centre 1005 patients (772 female, 233 male; age 37 ± 11 years), of whom 677 were migraine without aura (MoA), 130 migraine with aura (MA) and 198 TTH. Patients with two or more forms of primary headache were excluded. Among migraine patients, 43.9% with MoA and 38.5% with MA reported Osmophobia during the attacks; none of the 198 TTH patients suffered this symptom. Most frequently offending odours were scents (63.9%), food (55.2%) and cigarette smoke (54.8%). Osmophobia appears structurally integrated into the migraine history of the patient. It seems to be a peculiar symptom favouring the diagnosis of migraine (MoA and MA) in the differential diagnosis with ETTH.
D. Ragusa - One of the best experts on this subject based on the ideXlab platform.
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The prevalence of allodynia, Osmophobia and red ear syndrome in the juvenile headache: preliminary data.
The journal of headache and pain, 2005Co-Authors: Vincenzo Raieli, Eleonora Pandolfi, M. La Vecchia, Domenico Puma, A. Calò, A. Celauro, D. RagusaAbstract:The aim of the study was to determine the frequency of clinical allodynia, Osmophobia and red ear syndrome in a young population. Medical records of the children admitted for headache between 1 December 2004 and 31 March 2005 were consecutively studied. A questionnaire was used to find the prevalence of allodynia, Osmophobia and red ear syndrome. We visited 96 children with headache. The range of age was 6–18 years. We classified migraine in 57%, other primary headaches in 25% and secondary headaches in about 18%. The presence of ipsilateral clinical allodynia was 14.5% in migraine, Osmophobia in 20% of migraine and red ear syndrome in about 24% of migraine cases and they were absent in the other two headache groups. Our study shows that features like Osmophobia, allodynia and red ear syndrome are not uncommon in migraine while they are absent in other types of headache.
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The prevalence of allodynia, Osmophobia and red ear syndrome in the juvenile headache: preliminary data HEADACHE IN CHILDHOOD AND ADOLESCENCE
2005Co-Authors: V. Raieli, Vincenzo Raieli, Eleonora Pandolfi, M. La Vecchia, Domenico Puma, A. Calò, A. Celauro, D. RagusaAbstract:The aim of the study was to determine the frequency of clini- cal allodynia, Osmophobia and red ear syndrome in a young popula- tion. Medical records of the chil- dren admitted for headache between 1 December 2004 and 31 March 2005 were consecutively studied. A questionnaire was used to find the prevalence of allodynia, osmopho- bia and red ear syndrome. We visit- ed 96 children with headache. The range of age was 6-18 years. We classified migraine in 57%, other primary headaches in 25% and sec- ondary headaches in about 18%. The presence of ipsilateral clinical allodynia was 14.5% in migraine, Osmophobia in 20% of migraine and red ear syndrome in about 24% of migraine cases and they were absent in the other two headache groups. Our study shows that fea- tures like Osmophobia, allodynia and red ear syndrome are not uncommon in migraine while they are absent in other types of headache.
Vincenzo Raieli - One of the best experts on this subject based on the ideXlab platform.
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migraine: A
2016Co-Authors: Debora De Carlo, Egle Perissinotto, Michela Gatta, Umberto Balottin, Giovanni Mazzotta, Irene Toldo, Lara Dal Zotto, Stefano Sartori, Davide Moscato, Vincenzo RaieliAbstract:Osmophobia as an early marker o
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Osmophobia as an early marker of migraine: a follow-up study in juvenile patients.
Cephalalgia : an international journal of headache, 2012Co-Authors: D De Carlo, Egle Perissinotto, Michela Gatta, Umberto Balottin, Giovanni Mazzotta, D. Moscato, Irene Toldo, Stefano Sartori, Lara Dal Zotto, Vincenzo RaieliAbstract:Background: Osmophobia is frequent in children with migraine (20–35%) but can also occur in up to 14% of cases with tension-type headache (TTH). So far, the prognostic role of this symptom in child...
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Osmophobia in migraine classification: A multicentre study in juvenile patients
Cephalalgia : an international journal of headache, 2010Co-Authors: D De Carlo, L. Dal Zotto, Vincenzo Raieli, Egle Perissinotto, L Gallo, Michela Gatta, Umberto Balottin, Giovanni Mazzotta, D. Moscato, L. N. RossiAbstract:Aims: This study was planned to investigate the diagnostic utility of Osmophobia as criterion for migraine without aura (MO) as proposed in the Appendix (A1.1) of the International Classification of Headache Disorders (ICHD-II, 2004).Methods: We analysed 1020 patients presenting at 10 Italian juvenile headache centres, 622 affected by migraine (M) and 328 by tension-type headache (TTH); 70 were affected by headache not elsewhere classified (NEC) in ICHD-II. By using a semi-structured questionnaire, the prevalence of Osmophobia was 26.9%, significantly higher in M than TTH patients (34.6% vs 14.3%).Results: Osmophobia was correlated with: (i) family history of M and Osmophobia; and (ii) other accompanying symptoms of M. By applying these ‘new’ criteria, we found an agreement with the current criteria for the diagnosis of migraine without aura (MO) in 96.2% of cases; 54.3% of previously unclassifiable patients received a ‘new’ diagnosis.Conclusions: In conclusion, this study demonstrates that this new appro...
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The prevalence of allodynia, Osmophobia and red ear syndrome in the juvenile headache: preliminary data.
The journal of headache and pain, 2005Co-Authors: Vincenzo Raieli, Eleonora Pandolfi, M. La Vecchia, Domenico Puma, A. Calò, A. Celauro, D. RagusaAbstract:The aim of the study was to determine the frequency of clinical allodynia, Osmophobia and red ear syndrome in a young population. Medical records of the children admitted for headache between 1 December 2004 and 31 March 2005 were consecutively studied. A questionnaire was used to find the prevalence of allodynia, Osmophobia and red ear syndrome. We visited 96 children with headache. The range of age was 6–18 years. We classified migraine in 57%, other primary headaches in 25% and secondary headaches in about 18%. The presence of ipsilateral clinical allodynia was 14.5% in migraine, Osmophobia in 20% of migraine and red ear syndrome in about 24% of migraine cases and they were absent in the other two headache groups. Our study shows that features like Osmophobia, allodynia and red ear syndrome are not uncommon in migraine while they are absent in other types of headache.
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The prevalence of allodynia, Osmophobia and red ear syndrome in the juvenile headache: preliminary data HEADACHE IN CHILDHOOD AND ADOLESCENCE
2005Co-Authors: V. Raieli, Vincenzo Raieli, Eleonora Pandolfi, M. La Vecchia, Domenico Puma, A. Calò, A. Celauro, D. RagusaAbstract:The aim of the study was to determine the frequency of clini- cal allodynia, Osmophobia and red ear syndrome in a young popula- tion. Medical records of the chil- dren admitted for headache between 1 December 2004 and 31 March 2005 were consecutively studied. A questionnaire was used to find the prevalence of allodynia, osmopho- bia and red ear syndrome. We visit- ed 96 children with headache. The range of age was 6-18 years. We classified migraine in 57%, other primary headaches in 25% and sec- ondary headaches in about 18%. The presence of ipsilateral clinical allodynia was 14.5% in migraine, Osmophobia in 20% of migraine and red ear syndrome in about 24% of migraine cases and they were absent in the other two headache groups. Our study shows that fea- tures like Osmophobia, allodynia and red ear syndrome are not uncommon in migraine while they are absent in other types of headache.
Ferdinando Maggioni - One of the best experts on this subject based on the ideXlab platform.
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A prospective study on Osmophobia in migraine versus tension-type headache in a large series of attacks.
Cephalalgia : an international journal of headache, 2019Co-Authors: Alberto Terrin, E. Mampreso, Ferdinando Maggioni, Federico Mainardi, Carlo Lisotto, Matteo Fuccaro, Giorgio ZanchinAbstract:BackgroundIn literature, Osmophobia is reported as a specific migrainous symptom with a prevalence of up to 95%. Despite the International Classification of Headache Disorders 2nd edition proposal ...
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A lost track in ICHD 3 beta: A comprehensive review on Osmophobia.
Cephalalgia : an international journal of headache, 2016Co-Authors: Giorgio Zanchin, P.a. Battistella, Federico Mainardi, Matteo Fuccaro, Mario Ermani, Ferdinando MaggioniAbstract:BackgroundOsmophobia (Os) has been reported to be much more prevalent in migraine (M) than in other primary headaches, and its high specificity in the differential diagnosis between M and tension-t...
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Osmophobia in migraine and tension type headache and its clinical features in patients with migraine
Cephalalgia, 2007Co-Authors: Giorgio Zanchin, F. Dainese, F. Mainardi, E. Mampreso, M Trucco, Ferdinando MaggioniAbstract:Intolerance to smell is often reported by migraine patients. This study evaluates Osmophobia in connection with the diagnosis of migraine and episodic tension-type headache (ETTH). The characteristics of this symptom are also investigated. We recruited from our Headache Centre 1005 patients (772 female, 233 male; age 37 ± 11 years), of whom 677 were migraine without aura (MoA), 130 migraine with aura (MA) and 198 TTH. Patients with two or more forms of primary headache were excluded. Among migraine patients, 43.9% with MoA and 38.5% with MA reported Osmophobia during the attacks; none of the 198 TTH patients suffered this symptom. Most frequently offending odours were scents (63.9%), food (55.2%) and cigarette smoke (54.8%). Osmophobia appears structurally integrated into the migraine history of the patient. It seems to be a peculiar symptom favouring the diagnosis of migraine (MoA and MA) in the differential diagnosis with ETTH.
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Sympathy for Pontius Pilate. Hemicrania in M. A. Bulgakov's The Master and Margarita.
Cephalalgia : an international journal of headache, 2007Co-Authors: V Zayas, Federico Mainardi, Ferdinando Maggioni, Giorgio ZanchinAbstract:The aim of this study was to explore the description of the migraine attack of Pontius Pilate (a character in the novel The Master and Margarita by M. A. Bulgakov). Some of its features are analysed in light of current migraine literature. It is hypothesized that, at least in part, this description is based on the personal experience of the novel's author. We studied and analysed the text of the novel, other works by Bulgakov, his biography, including his medical training and practice, and the recently published diaries of Bulgakov and his wife E. S. Bulgakova. The novel contains a comprehensive description of a migraine attack. It includes a prodrome/aura of Osmophobia. Olfactory perception during or shortly before the migraine attack is altered to the point where neutral or even pleasant odours become unbearable. Bulgakov's extensive history of migraines is seen in his diary, the diary of his wife, letters and other literary works. This is one of the most detailed and extensive depictions of a migraine attack in literature, with Osmophobia described with great emphasis. It is likely that Pilate's migraine is described based on the personal history of the novel's author.
Leslie Kelman - One of the best experts on this subject based on the ideXlab platform.
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Validation of the classification of migraine without aura (IHS A1.1) proposed in ICHD-2.
Headache, 2005Co-Authors: Leslie KelmanAbstract:Objective.—This study attempts to validate the alternative criteria for classification of migraine without aura (International Headache Society [IHS] A1.1) proposed in the appendix of The International Classification of Headache Disorders, 2nd edition. This method uses at least two of the associated symptoms (nausea, vomiting, photophobia, phonophobia, and Osmophobia) in category D of the IHS classification. Background.—In the appendix of The International Classification of Headache Disorders, 2nd edition, an alternative method of classification of migraine without aura is proposed. This method of classification has never been validated. Methods.—A total of 1480 consecutive headache patients in a tertiary care setting were evaluated at first visit. Headache-associated features, such as intensity, lifetime duration, frequency per month, duration, triggers, prodrome, percentage recurrence, and postdrome frequency, were recorded. In addition, medication satisfaction, acute and monthly disability, grading of headache days, sleep normality, mood, and habits were documented. Results.—Of the 1480 patients, 901 were initially classified as having migraine IHS 1.1. Using the proposed alternative method (IHS A1.1), 885 (98.2%) of these patients were reclassified as having migraine. The remaining 16 (1.8%) patients not classified had only nausea and none of the other specified associated symptoms. They also exhibited different characteristics from the IHS migraine population as a whole regarding their headache and other features. Conclusions.—This classification of migraine in a headache center population shows that the proposed use of any two of nausea, vomiting, photophobia, phonophobia, and Osmophobia in category D of the classification may be a valid alternative method of classification. This study also demonstrates that the standard IHS methodology includes a very small group of patients who appear to be different from other migraine patients.
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Osmophobia and taste abnormality in migraineurs: a tertiary care study.
Headache, 2004Co-Authors: Leslie KelmanAbstract:Objectives.—This study assesses Osmophobia and taste abnormality for the first time in a large sample of migraine patients. Methods.—Seven hundred and twenty seven migraineurs were evaluated. Osmophobia, taste abnormality, and perfume or odor trigger were graded from 0 to 3. Results.—In patients with data, 24.7% of 673 patients complained of Osmophobia (12.5% occasional, 7% frequent, and 5.2% very frequent) and 24.6% of 505 of taste abnormality (13.5% occasional, 6.1% frequent, and 5.0% very frequent). Perfume or odor trigger of acute migraine occurred in 45.5% of 724 patients (22.7% occasional, 10.2% frequent, and 12.6% very frequent). Perfume or odor trigger was associated with Osmophobia in 61.5% and taste abnormality 62.1%. Osmophobia without taste abnormality occurred in 28.3% and taste abnormality without Osmophobia in 40.3%. A greater percentage of females than males had Osmophobia (25.7 vs. 17.5), taste abnormality (25.4 vs. 17.9), and perfume or odor trigger (49.3 vs. 22.1), all P < .0001. Conclusions.—Osmophobia and taste abnormality occur in about one quarter of migraineurs during an acute migraine attack while perfume or odor trigger migraine in almost 50% of patients. Osmophobia and taste abnormality in the acute migraine attack, as well as perfumes or odor as a migraine trigger, are more common in females than in males.