Migren ile Karpal Tünel Sendromu Birlikteliği

Öz

Amaç: Migren ve karpal tünel sendromu (KTS), toplumda sık rastlanılan iki ayrı hastalık tablosudur. Birbirinden tamamen farklı olan bu iki tablonun bazı ortak özelliklere sahip olduğu dikkatimizi çekmiştir. Bu yüzden bu iki tablonun birlikteliği var mıdır? Var ise bu birliktelik anlamlı mıdır? Sorularına cevap bulmak amacı ile bu çalışma planlanmıştır. Yöntem: Bu çalışma 178 KTS ve 167 migren olmak üzere toplam 345 hasta ile yürütüldü. Çalışmada iki grup oluşturuldu. Birinci grup, elektrofizyoloji laboratuvarında KTS tanısı konulan hastalardan oluştu. Bu hastalara uluslararası baş ağrısı sınıflama kriterlerine göre hazırlanan migren tarama anketi yapıldı. Bu ankete göre hastalarda migreni olanlar ve olmayanlar belirlendi. İkinci grup ise nöroloji polikliniğine başvuran ve migren tanısı konulan hastalardan oluşturuldu. Bu grup ise migren grubu olarak adlandırıldı. Bu çalışma kesitsel ve karşılaştırmalı olarak dizayn edildi. Bulgular: Dışlama kriterleri sonrası çalışmada kalan toplam 345 hastanın 178’i KTS grubunda, 167’si migren grubunda idi. KTS hastalarının %80,3'ünde migren saptanırken, migren olanların %12,6'sında KTS saptandı. Sonuç ve Öneriler: Bulduğumuz KTS grubunda yüksek oranda migren, migren grubunda ise düşük oranda KTS saptanmış olması, migren baş ağrılarının gelecekte KTS olmaya yatkınlık oluşturabileceği yargısını doğurdu. Bu görüşümüzü desteklemek için ek çalışmalara ihtiyaç olduğu kanaatindeyiz.

Anahtar Kelimeler

• Karpal tünel sendromu
• Migren
• Patofizyoloji
• Sıklık
• Komorbidite

Coexistence of Migraine and Carpal Tunnel Syndrome

Öz

Aim: Migraine and carpal tunnel syndrome (CTS) are two common health problems that have some common features and are frequently encountered in society. Is it possible for these two tables, which have so much in common, to coexist? If so, is this association meaningful? The study was designed in order to find answers to these questions. Method: This study was performed with a total of 345 subject as 178 patients having carpal tunnel syndrome (CTS) and 167 migraine patients. The first group was composed of those diagnosed with CTS based on the nerve conduction measurements in the electrophysiology laboratory. These patients were classified according to the international headache classification criteria and those with and without migraine were determined in the light of the data in the questionnaire. The second group, called as migraine group, comprised of those admitted to the neurology outpatient clinic and diagnosed with migraine. The study was designed as a cross-sectional and comparative study. Results: Of the 345 patients who remained in the study after exclusion criteria, 178 were in the CTS group and 167 were in the migraine group. Although approximately 80,3% of those with CTS had migraine, only 12,6% of those diagnosed with migraine had CTS. Conclusion and Suggestions: We consider that migraine headaches may create a predisposition to contract CTS in the future. Additional studies are needed to support this view.

Anahtar Kelimeler

• Carpal Tunnel Syndrome
• Comorbidity
• Migraine
• Physiopathogenesis
• Frequency

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