Erkek ve kadın migrenli hastalarda el tercihi, serebral lateralizasyon ve migren arasındaki ilişkiler

Amaç: Migren tanısı konulmuş hastalarda el tercihi, serebral lateralizasyon ve migrenle olan ilişkiler araştırıldı. Yöntem: Celal Bayar Üniversitesi Tıp Fakültesi Moris Şinasi Araştırma ve Uygulama Hastanesi Nöroloji ABD polikliniğine Ocak-Temmuz 1995 tarihlerinde baş ağrısı nedeni ile baş vuran 35 hastada Uluslararası Baş Ağrısı Derneğinin ölçütlerine dayanılarak anamnez ve nörolojik muayene ile migren tanısı konulmuştur. Hastalarda el tercih dağılımı araştırıldı. Çalışma bulguları istatistiksel değerlendirmeye tabi tutularak bütün olgular sınıflandırıldı. Bulgular: Vakaların % 71.4'ü sağlak (n=25), % 20.0'i ambidekster (n=7), % 8.6'i de solak (n=3) olarak saptandı. Bu dağılım normal popülasyonla uyum gösteriyordu. Migren insidansı kadınlarda erkeklere göre daha yüksekti. Sonuç: Bu bulgular motor ve bilinçsel asimetri oluşturan serebral lateralizasyonun en belirgin işareti sayılan el tercihinin migrenli hastalardaki dağılımının özellik arz etmediğine işaret eder. Bu çalışma literatürle uyum göstermekte ve migren insidansının solaklarda yüksek olduğunu iddia eden çalışmaları desteklememektedir.

Relations among hand preference, cerebral lateralization and migrain in male and female patients with migrain

Objective: The relationship between manual and cerebral lateralization and migraine were studied in the patients diagnosed as migraine. Methods: The patients who applied to Department of Neurology of Medical School at Celal Bayar University for headache between January and July 1995 were diagnosed as migraine by using history and neurological examination according to the rules of the International Headache Association. The dominant hand of the patients was studied. All patients were classified by using statistical methods on the data obtained. Results: The 71.4% (n=25) of the patients was right-handed, 20.0% (n=7) of the patients was ambidexter and 8.6% (n=3) of the patients (n=35) was left-handed. This distribution is similar to normal population. The migraine incidence was higher in women than men. Conclusion: These results confirmed that the hand dominancy in migraine patients was not different from healthy people. This study is in accordance with the literature and does not support the studies which claim that the left-handers have higher incidence of migraine.

___

  • Ray BS, Walff HG. Experimental studies in headache: Pain sensitive structures of the head and their significance in headache. Arc Surg 1949;4:813-56.
  • Moskowitz MA. Basic mechanims in vascular headaches. Neurol Clin 1990;8:801-15.
  • Sicuteri F, Testi A, Anselmi B. Biochemical investigations in headache: Increase in hydroxyindoleacetic acid exretion during migraine attacks. Int Allergy Appl Immunol 1961;19:55-8.
  • Oldfield RC, The assessment and anaysis of handedness: The Edinburgh Inventory. Neuropsychologia 1971;29:97-114.
  • Tan Ü. Modulation of spinal motor asymmetry by neuroleptic medication of schizophrenia patients. Int J Neuroscience 1986;30:165-72.
  • Geschwind N. Behan P. Left-handedness: Association with immune disease, migraine and developmental learning disorder. Proceed Nat Acad Sci 1982;79:5097-100.
  • Tan Ü. The distribution of hand preference in normal men and women. Int J Neuroscience 1988:41:35-55.
  • Olesen J, Bonica JJ, Welch KMA. The management of pain. Philadelphia: Lea&Febriger; 1990.
  • Headache Classification Committee of the International Headache Society. Classification and diagnostic criteria neuralgias and facial pain. Cephalalgia 1988;8(Supp):1-96.
  • Crisp AH, Kalucy RS, McGuinness B, Ralph PC, Harris G, Some clinical, social and psychological characteristics of migraine subjects in the general population. Postgrad Med J 1977;53:691-7.
  • Barton CW. Evaluation and treatment of headache patients in the emergency department: A survey. Headache 1994;34:57-69.
  • Diamond S, Diamond ML. Emergency treatment of migraine. Syndrome 1997;9:82-6.