Testen viser at du sannsynligvis ikke har migrene, men siden du sliter med hodepine bør du kontakte legen din for undersøkelse og oppfølging. Vær oppmerksom på at nakkesmerter forekommer svært hyppig under migreneanfall, og er en av de viktigste årsakene til at feil diagnose stilles. Vanligvis er nakkesmertene et resultat av migrenen og ikke motsatt.
Volvats har er et tverrfaglig tilbud til pasienter med hodepine. Våre erfarne nevrologer tilbyr diagnostisering, behandling og oppfølging. Velkommen!
Besøk nevrologisiden til Volvat for mer informasjon
Kilder
Headache. 2011 Jul-Aug;51(7):1140-8. doi:
10.1111/j.1526-4610.2011.01916.x. Epub 2011 Jun 7. Diagnostic accuracy of the
ID Migraine: a systematic review and meta-analysis.Cousins
G1, Hijazze
S, Van
de Laar FA, Fahey
T. OBJECTIVE:The
purpose of this systematic review with meta-analysis is to determine the
diagnostic accuracy of the identification of migraine (ID Migraine) as a
decision rule for identifying patients with migraine.BACKGROUND:The ID Migraine screening tool is designed to
identify patients with migraine in primary care settings. Several studies have
validated the ID Migraine across various clinical settings, including primary
care, neurology departments, headache clinics, dental clinics, ear, nose, and
throat (ENT) and ophthalmology.METHODS:A
systematic literature search was conducted to identify all studies validating
the ID Migraine, with the International Headache Criteria as the reference
standard. The methodological quality of selected studies was assessed using the
Quality of Diagnostic Accuracy Studies tool. All selected studies were combined
using a bivariate random effects model. A sensitivity analysis was also
conducted, pooling only those studies using representative patient groups
(primary care, neurology departments, and headache clinics) to determine the
potential influence of spectrum bias on the results.RESULTS:Thirteen studies incorporating 5866 patients are
included. The weighted prior probability of migraine across the 13 studies is
59%. The ID Migraine is shown to be useful for ruling out rather than ruling in
migraine, with a greater pooled sensitivity estimate (0.84, 95% confidence
interval 0.75-0.90) than specificity (0.76, 95% confidence interval 0.69-0.83).
A negative ID Migraine score reduces the probability of migraine from 59% to
23%. The sensitivity analysis reveals similar results.CONCLUSIONS:This systematic review quantifies the diagnostic
accuracy of the ID Migraine as a brief, practical, and easy to use diagnostic
tool for Migraine. Application of the ID Migraine as a diagnostic tool is
likely to improve appropriate diagnosis and management of migraine sufferers. © 2011 American Headache Society.