Cephalic venous congestion aggravates only migraine-type headaches

C. H. Chou, A. C. Chao, S. R. Lu, H. H. Hu, Shuu Jiun Wang

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

We performed the Queckenstedt's (Q)-test (compression over bilateral internal jugular veins) and a sham test on 33 patients with migraine attacks (coded as 1.1 based on headache classification proposed by International Headache Society (IHS)), 15 with migrainous attacks (IHS code 1.7), and 15 with tension-type headache (IHS code 2.1) in both supine and sitting positions. 'Migrainous headache' (code 1.7) was defined if the headache characteristics fulfilled all but one criteria for 'migraine without aura'. Migraine sufferers reported a marked increase in headache intensity after a 30-second Q-test in both supine and sitting positions. Aggravation was greater in the supine position. The intensity increase was not demonstrated in the sham test, or in patients with migrainous attacks or tension-type headaches after the Q-test. Patients with acute migraine thus appear more sensitive to increased cerebral venous pressure or intracranial pressure. The discrepancy of intensity changes between supine and sitting positions may reflect different amount of venous return through the internal jugular veins.

Original languageEnglish
Pages (from-to)973-979
Number of pages7
JournalCephalalgia
Volume24
Issue number11
DOIs
Publication statusPublished - Nov 1 2004
Externally publishedYes

Fingerprint

Hyperemia
Migraine Disorders
Headache
Head
Supine Position
Posture
Tension-Type Headache
Jugular Veins
Migraine without Aura
Venous Pressure
Intracranial Pressure

Keywords

  • Cerebral venous congestion
  • Migraine
  • Queckenstedt's test

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

Cephalic venous congestion aggravates only migraine-type headaches. / Chou, C. H.; Chao, A. C.; Lu, S. R.; Hu, H. H.; Wang, Shuu Jiun.

In: Cephalalgia, Vol. 24, No. 11, 01.11.2004, p. 973-979.

Research output: Contribution to journalArticle

Chou, C. H. ; Chao, A. C. ; Lu, S. R. ; Hu, H. H. ; Wang, Shuu Jiun. / Cephalic venous congestion aggravates only migraine-type headaches. In: Cephalalgia. 2004 ; Vol. 24, No. 11. pp. 973-979.
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