Conclusion
Tableau 2: Migraine avec aura, critères diagnostiques selon la
classification de l’IHS 2004
Références
La migraine est une affection qui peut toucher plus de 8% de la population africaine. Significativement invalidante, il est prioritaire d'apporter des recommandations claires, adaptées à l'exercice médical en Afrique, quant à son diagnostic et à sa prise en charge (médicamenteuse ou non).
Etat des connaissances actuelle sur le sujet
Les études épidémiologiques rapportent que les migraines sont fréquentes dans la population adulte;
De nombreuses options thérapeutiques permettent de traiter les crises migraineuses.
Contribution de notre étude à la connaissance
Etat des lieux sur les données épidémiologiques enAfrique;
Recommandations sur la prise en charge de la migraine, adaptées aux conditions en Afrique (en fonction de la disponibilité des traitements et de l'accès aux soins).
Conflits d’intérêts
Les auteurs ne déclarent aucun conflit d'intérêt.
Contributions des auteurs
Tous les auteurs ont contribué à la conduite de ce travail. Tous les auteurs déclarent également avoir lu et approuvé la version finale du manuscrit.
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Tableau 1: Migraine sans aura, critères diagnostiques selon la classification de l’IHS 2004 |
|
Critère |
Description |
A |
Au moins cinq crises répondant aux critères B, C ou D |
B |
Crises de céphalées durant de 4 à 72 heures (sans traitement) |
C |
Céphalées ayant au moins deux des caractéristiques suivantes : |
unilatérale |
|
pulsatile |
|
modérée ou sévère |
|
aggravée par les activités physiques de routine, telles que montée ou descente des escaliers |
|
D |
Associé aux céphalées, au moins l’un des symptômes suivants : |
nausées et/ou vomissements |
|
photophobie et phonophobie |
|
E |
Au moins un des éléments suivants: |
l’histoire, l’examen physique et neurologique ne suggèrent pas de désordre organique |
|
l’histoire, l’examen physique et neurologie suggèrent un désordre organique mais celui-ci est écarté par la neuro-imagerie ou tout autre procédé de laboratoire |
|
un désordre organique existe mais les crises migraineuses ne sont pas apparues pour la première fois en liaison temporelle directe avec ce désordre |
Tableau 2: migraine avec aura, critères diagnostiques selon la classification de l’IHS 2004 |
|
Critère |
Description |
A |
Au moins deux crises répondant aux critères B |
B |
Aura ayant une des caractéristiques suivantes sans signe moteur : Symptômes visuels totalement réversibles soit positifs : scotomes lumineux, scintillements... ou négatifs : amaurose transitoire partielle ou totale Symptômes sensoriels totalement réversibles soit en plus : fourmillements, brûlures, soit en moins paresthésies engourdissements aphasie ou autres troubles du langage transitoires et totalement réversibles |
C |
Au moins deux des caractéristiques suivantes : signes visuels homonymes le symptôme de l’aura se développe progressivement sur plus de cinq minutes et en cas de deux ou plusieurs symptômes, ils surviennent successivement la durée de chacun des symptômes de l’aura n’excède pas 60 minutes. S’il y a plusieurs symptômes, la durée acceptée est augmentée en conséquence. |
D |
La céphalée qui a les caractéristiques de la migraine sans aura, fait suite à l’aura après un intervalle libre de moins de 60 minutes, mais peut parfois commencer avant l’aura ou lui être contemporaine. |
E |
Il n'y a pas d'autre étiologie pouvant expliquer ce phénomène |