{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T12:30:14Z","timestamp":1765888214354,"version":"build-2065373602"},"reference-count":35,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,9,26]],"date-time":"2019-09-26T00:00:00Z","timestamp":1569456000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["headachejournal.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Headache"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The primary aim of this study was to assess the degree of awareness migraine patients had of their condition. The secondary aims were to evaluate the frequency of an incorrect diagnosis of \u201ccervical arthrosis\u201d in patients unaware of having migraine and to compare the clinical features, diagnostic investigation, and treatment strategies between the 2 subgroups of migraineurs, that is, those with and without the incorrect diagnosis of \u201ccervical arthrosis.\u201d<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients, between 18 and 65 years, were consecutively referred to 5 Headache Centers in 2 Italian regions for a first visit. They fulfilled the diagnostic criteria for migraine (with\/without aura, episodic\/chronic) and were enrolled in this cross\u2010sectional study. Each patient underwent a specific cranial\/cervical musculoskeletal clinical examination.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 117\/250 subjects (46.8%) were unaware that they suffered from migraine. In these\n                      <jats:italic>unaware subjects<\/jats:italic>\n                      , the most frequently reported diagnosis was \u201ccervical arthrosis\u201d in 34\/117 (29.1%), followed by tension\u2010type headache in 23\/117 (19%). The cervical region was the most common site of pain onset in the so\u2010called \u201ccervical arthrosis\u201d group (52.9%,\n                      <jats:italic>P\u00a0<\/jats:italic>\n                      &lt;\u00a0.0001), where also more pericranial (58.8%;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a0.041) and neck (70.6%;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a0.009) muscle tenderness, restricted range of cervical vertical (47.1%;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a0.001), and lateral (29.4%;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a0.040) movements were reported. More \u201ccervical arthrosis patients\u201d had been referred to an Emergency Department (88.2%;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a0.011) and had undergone more cervical spine radiography (23.5%;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a0.003) and magnetic resonance imaging (20.6%;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a0.044). While they had used fewer triptans (11.8%;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a0.007) and received less pharmacological prophylaxis (2.9%;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a0.004).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In our sample, there were high misdiagnosis rates for migraine sufferers in Italy. The most common misdiagnosis, that is, \u201ccervical arthrosis,\u201d led to misuse of healthcare facilities and had a negative impact on the migraine treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/head.13679","type":"journal-article","created":{"date-parts":[[2019,9,27]],"date-time":"2019-09-27T00:30:11Z","timestamp":1569544211000},"page":"81-89","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Migraine Awareness in Italy and the Myth of \u201cCervical Arthrosis\u201d"],"prefix":"10.1111","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3154-7634","authenticated-orcid":false,"given":"Eugenia","family":"Rota","sequence":"first","affiliation":[{"name":"Neurology Unit ASL Alessandria Novi Ligure Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Riccardo","family":"Zucco","sequence":"additional","affiliation":[{"name":"Unit of Neurology Neuromotor Department 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