Beyond movement: Headache in patients with functional movement disorders Article Swipe
Elena Riva
,
Mónica Kurtis
,
Adrián Valls Carbó
,
Oriol Franch
,
Isabel Pareés
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1111/head.14804
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1111/head.14804
Objective To evaluate headache comorbidity in a cohort of patients with functional movement disorders by assessing the prevalence, clinical characteristics, and temporal relationship of headache with the onset of functional symptoms. Background Functional movement disorders are common and potentially treatable. Although headache is frequent in these patients, few studies have evaluated their headache features. Methods This observational cohort study included consecutive patients with functional movement disorders evaluated in our Functional Movement Disorders Unit between October 2021 and November 2022. Clinical and demographic features from clinical charts were reviewed, and patients completed a self‐administered questionnaire designed by the authors that included headache characteristics, disease duration, treatments received, and the Headache Impact Test‐6. Headache type was classified as per the Classification of Headache Disorders, third edition (ICHD‐3). Results A total of 51 patients with functional movement disorders were included. Of those, 40 (78%) reported having recurrent headache. Headache intensity was moderate–severe in 33/40 (83%), and about two‐thirds experienced headache >9 days/month. Disability secondary to headache was high (median [interquartile range] Headache Impact Test‐6 score 62 [49–66]). Based on the ICHD‐3, 23/40 (58%) of patients with headache met the criteria for migraine or probable migraine, 11/40 (27%) for tension‐type headache, two of 40 (5%) for new daily persistent headache, and one of 40 (3%) for primary exercise headache, while three of 40 (7%) were unclassifiable. The onset of headache occurred before the functional movement disorder in 28/40 (70%), after the functional movement disorder in five of 40 (12%), and simultaneously in six of 40 (15%). In this last group, four of the six (67%) patients described a daily headache from the onset, and two met the criteria for new daily persistent headache. Conclusions Headache is a frequent condition in patients with functional movement disorders and an additional burden of disability beyond their motor symptoms. We found that, besides migraine and tension‐type headache, new daily persistent headache may be a comorbid phenotype in patients with functional movement disorders and should be further studied in larger prospective studies.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1111/head.14804
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/head.14804
- OA Status
- bronze
- Cited By
- 2
- References
- 9
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4401217023
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4401217023Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1111/head.14804Digital Object Identifier
- Title
-
Beyond movement: Headache in patients with functional movement disordersWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-08-01Full publication date if available
- Authors
-
Elena Riva, Mónica Kurtis, Adrián Valls Carbó, Oriol Franch, Isabel PareésList of authors in order
- Landing page
-
https://doi.org/10.1111/head.14804Publisher landing page
- PDF URL
-
https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/head.14804Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
bronzeOpen access status per OpenAlex
- OA URL
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/head.14804Direct OA link when available
- Concepts
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International Classification of Headache Disorders, Medicine, Migraine, Movement disorders, Cohort, Interquartile range, Functional movement, Physical therapy, Pediatrics, Cohort study, Observational study, Disease, Internal medicineTop concepts (fields/topics) attached by OpenAlex
- Cited by
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2Total citation count in OpenAlex
- Citations by year (recent)
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2025: 2Per-year citation counts (last 5 years)
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9Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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