Artykuły w czasopismach na temat „Headache”
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Forward, SP, PJ McGrath, D. MacKinnon, TL Brown, J. Swann i EL Currie. "Medication Patterns of Recurrent Headache Sufferers: A Community Study". Cephalalgia 18, nr 3 (kwiecień 1998): 146–51. http://dx.doi.org/10.1046/j.1468-2982.1998.1803146.x.
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This community-based telephone survey determined medication patterns of 274 frequent headache sufferers who reported 12 or more headaches a year. Headaches were classified using the International Headache Society's (IHS) criteria. Participants reported on 465 types of headaches: 129 tension headaches, 158 migraine headaches, 8 chronic tension headaches, and 148 headaches which were unclassifiable using IHS criteria. Females ( n=133) reported an average of 1.9 types of headache and males ( n=141) reported 1.5 headache types. Fifty-six percent of respondents used acetaminophen for tension-type and 60% used acetaminophen for migraine. One percent used prescription medication for tension headache and 12% used prescriptions for migraine. The perceived effectiveness of over-the-counter medication was approximately 7 on a scale of 0–10 for tension headaches and 6 for migraine. Both tension-headache and migraine-headache sufferers waited about 1 h before taking any medication. Tension-headache sufferers waited until the headache was above 5 on a 0 to 10 scale (4.6 for migraine). It is possible that more aggressive use of medication might improve headache management.
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Vishwanath, Mr Bite Rushikesh. "Preparation and Characterization Mustard Oil, Nutmeg and Cloves to Treat Headache". International Journal for Research in Applied Science and Engineering Technology 9, nr 12 (31.12.2021): 1290–98. http://dx.doi.org/10.22214/ijraset.2021.39526.
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Abstract: Headache is an extremely common symptom and collectively headache disorders are among the most common of the nervous system disorders, with a prevalence of 48.9% in the general population.1 Headache affects people of all ages, races and socioeconomic status and is more common in women. Some headaches are extremely debilitating and have significant impact on an individual’s quality of life, imposing huge costs to healthcare and indirectly to the economy in general. Only a small proportion of headache disorders require specialist input. The vast majority can be effectively treated by a primary care physician or generalist with correct clinical diagnosis that requires no special investigation. Primary headache disorders – Headaches, tension headache and cluster headache – constitute nearly 98% of all headaches; however, secondary headaches are important to recognise as they are serious and may be life threatening. This article provides an overview of the most common headache disorders and discusses the red flag symptoms that help identify serious causes that merit urgent specialist referral. The current pathway of headache care in the UK is discussed with a view to proposing a model that might fit well in the financially constrained National Health Service (NHS) and with new NHS reforms. The role of the national society, the British Association for the Study of Headache, and the patient organisations such as Headaches Trust in headache education to the professionals and the general public in shaping headache care in the UK is described. The article concludes by summarising evidence-based management of common headache diagnoses. Keywords: Headache, Headaches, tension headache, cluster headache, medication overuse headache
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Tucker, Tarvez. "A Practical Approach to Headache Treatment". Journal of Pharmacy Practice 20, nr 2 (kwiecień 2007): 123–36. http://dx.doi.org/10.1177/0897190007305133.
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The World Health Organization cites migraine headache as one of the 20 most disabling medical conditions. This article focuses on the diagnosis and treatment of the primary headache disorders, with special emphasis on migraine, the headache most likely to bring patients to physicians and pharmacists. This review begins with the warning signs of the ominous headache, which, although rare, can herald a life-threatening condition. Clinical characteristics of the primary headache types, migraine, tension-type headache, and cluster headache, are described. Although many individuals believe their headaches are “sinus,” or “stress or tension-induced,” most of the characteristics of these types of headaches actually meet International Headache Society criteria for migraine. Treatments of primary headaches, including acute therapies, abortive agents, and prophylactic medications, are uniquely specific for each headache syndrome. Chronic daily headache patients compose only 4% of the population yet make up the largest percentage of patients who seek treatment at specialty headache centers. Medication-overuse headache, the syndrome in which medications taken for the relief of headache actually foster future headaches, offers a particular challenge to health care providers, as does narcotic use in headache therapy. Complementary and alternative treatments proven efficacious in the treatment of primary headache are also described.
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Vein, AA, H. Koppen, J. Haan, GM Terwindt i MD Ferrari. "Space Headache: A New Secondary Headache". Cephalalgia 29, nr 6 (czerwiec 2009): 683–86. http://dx.doi.org/10.1111/j.1468-2982.2008.01775.x.
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Headache is a common, but rarely voiced, complaint during space flights, usually attributed to space motion sickness (SMS). We used a specifically designed questionnaire based on the criteria of the International Classification of Headache Disorders, 2nd edn (ICHD-II). Of the 16 male and one female astronauts who participated in the survey, 12 (71%) reported having experienced at least one headache episode while in space, whereas they had not suffered from headache when on earth. There were in total 21 space headache episodes, of moderate to severe intensity in 71%. In two astronauts (12%) the headache and associated symptoms would match the ICHD-II criteria for migraine and in three (18%) astronauts for tension-type headache; in 12 (70%) astronauts the headache was non-specific. The vast majority of headache episodes (76%) were not associated with symptoms of SMS. We conclude that space flights may trigger headaches without other SMS symptoms in otherwise ‘super-healthy’ male subjects. We propose to classify space headache as a separate entity among the secondary headaches attributed to disorders of homeostasis.
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Kararizou, Evangelia, Anastasia Bougea, Dimitra Giotopoulou, Evangelos Anagnostou, Annika Gkiata, Konstantinos Gkiatas i Elefterios Stamboulis. "An Update on the Less-known Group of Other Primary Headaches – A Review". European Neurological Review 9, nr 1 (2014): 71. http://dx.doi.org/10.17925/enr.2014.09.01.71.
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Headache represents one of the most common symptoms in the emergency department. A systematic approach to headache classification is essential for diagnosis and efficient therapeutic management. New International Headache Classification (ICHD-3 beta) criteria provide a dynamic clinically useful instrument, establishing both uniform terminology and consistent operational diagnostic criteria for a broad range of headache disorders. This article reviews and highlights developments in our knowledge of “Other Primary Headaches”, including primary stabbing headache, primary cough headache, primary exercise headache, primary headache associated with sexual activity, hypnic headache, primary thunderclap headache, cold-stimulus headache, nummular headache, external-pressure headache and new daily persistent headache. Clinicians should be aware that these headaches may be symptomatic to structural lesions and therefore require careful neuroimaging and laboratory evaluation.
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Molina, Omar Franklin, Marcus Geraldo Peixoto, Nayene Leocádia Manzutti Eid, Raphael Navarro Aquilino i Rise Consolação Iuata Costa Rank. "Headache and Bruxing Behavior Types in Craniomandibular Disorders (Cmds) Patients". Revista Neurociências 19, nr 3 (31.03.2001): 449–57. http://dx.doi.org/10.34024/rnc.2011.v19.8345.
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Objective. Assess headache and bruxism in Craniomandibular Disorders (CMDs) and non CMDs patients. Method. Clinical examination, questionnaires, headache criteria, severity of bruxism. Results. The prevalence of headache was 68.3% in the CMDs group and 51.4% in the non-CMDs group (p<0.04).Tension type (TTH)=52.8% and combination headaches=25.2% predominated in CMDs. Migraine was more prevalent in Non-CMDs (21.1%) than in CMDs subjects (11.4%). Severe bruxism predominated in the headache/CMDs group=35% as compared to the non-headache/ CMDs group=21%, (p=0.08). We found a frequency of 29.3% extreme bruxism in the headache group and 7% in the non-headache group (p><0.0005). The frequencies of mild/moderate bruxism were about 28% in the TTH, 44.8% in the “other headaches” and 72% in the non-headache/CMDs groups. The frequencies of severe/extreme bruxism were 72.3% in the TTH, 55.2% in the “Other headaches”, and 28% in the non- headache/CMDs groups(p=0.0001). Conclusion. Headache, TTH and combination headache were common in the CMDs group. Severe and extreme bruxism were more prevalent in the headache /CMDs group than in the “other headaches” and in the non/headache CMDs groups. Severe and extreme bruxism were more frequent in the TTH/CMDs group.>
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ELİAÇIK, Sinan, i Serdar AYKAÇ. "Characteristics and effects of headaches on quality of life in individuals with epilepsy in Çorum province of Turkey". Journal of Health Sciences and Medicine 6, nr 5 (28.09.2023): 943–47. http://dx.doi.org/10.32322/jhsm.1307268.
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Aims: Varying headache prevalence rates have been reported in individuals with epilepsy in the literature. This study was investigate the frequency and types of headaches in individuals with epilepsy, and the impact of headaches on the clinical features and quality of life in this patient group.
Methods: 150 individuals with epilepsy, 83 female and 67 male, were included in the study sample by random sampling method. Headaches were primarily defined as pre-ictal, ictal, and post-ictal headaches according to the temporal relationship with seizures. Headaches that were not temporally related to seizures were defined as inter-ictal headaches. Types and features of participants’ headaches were evaluated using the headache questionnaire consisting of 35 questions. Individuals’ quality of life was evaluated using the Quality of Life in Epilepsy Inventory (QOLIE-10).
Results: Of the 150 participants included in the study, 73.33% had generalized, 20% focal, and 6.66% combined generalized focal epilepsy, and 41.33% had accompanying headache complaints. Of the participants with headaches, 35.48% were male and 64.51% were female. Inter-ictal headache, which was detected in 72.58% participants, was the most common type of headache. Tension and migrainous type headaches were more common among participants with inter-ictal headache, whereas migrainous type headaches were more common among participants with pre- and post-ictal headaches. There were statistically significant differences in the scores obtained from all three subscales of QOLIE-10 inventory between the participants with and without headache. Accordingly, quality of life was worse in the headache group than in the headache-free group (p
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Aaseth, K., RB Grande, KJ Kvárner, P. Gulbrandsen, C. Lundqvist i MB Russell. "Prevalence of Secondary Chronic Headaches in a Population-Based Sample of 30-44-Year-Old Persons. The Akershus Study of Chronic Headache". Cephalalgia 28, nr 7 (lipiec 2008): 705–13. http://dx.doi.org/10.1111/j.1468-2982.2008.01577.x.
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We studied secondary chronic headaches (≥ 15 days/month for at least 3 months) in a random sample of 30 000 persons aged 30-44 years. They received a mailed questionnaire. Those with self-reported chronic headache within the last month and/or year were invited to an interview and examination by a neurological resident. The criteria of the International Classification of Headache Disorders (ICHD-II) were applied. The questionnaire response rate was 71%, and the participation rate of the interview was 74%. Of the 633 participants, 298 had a secondary chronic headache. The 1-year prevalence of secondary chronic headache was 2.14%, i.e. chronic posttraumatic headache 0.21%, chronic headache attributed to whiplash injury 0.17%, post-craniotomy headache 0.02%, medication-overuse headache (MOH) 1.72%, cervicogenic headache 0.17%, headache attributed to chronic rhinosinusitis 0.33% and miscellaneous headaches 0.04%. The majority of those with ICHD-II-defined secondary chronic headache had MOH, while about one-third had other secondary headaches often in combination with MOH.
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Schytz, Henrik Winter, i Jeppe Hvedstrup. "Evaluating Headache and Facial Pain in a Headache Diagnostic Laboratory: Experiences from the Danish Headache Center". Diagnostics 13, nr 16 (14.08.2023): 2671. http://dx.doi.org/10.3390/diagnostics13162671.
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Background: Diagnostic tests are not routinely used for the diagnosis of primary headaches. It is possible that laboratory tests could be developed and implemented at tertiary headache centers to be an integrated part of the diagnosis and management of headache patients, and laboratory tests that can be used on-site at headache centers could help in evaluating patients with secondary headache disorders. Methods: In this narrative review, we present some of the studies that have been made so far at the Headache Diagnostic Laboratory at the Danish Headache Center that aim to investigate and phenotype primary headaches and investigate secondary headaches as well as improve management. Results: Semi-structured interviews and deep phenotyping, quantitative sensory testing, and provocation studies have been shown to be valuable in categorizing primary and secondary headache subtypes, possible pathophysiology, and defining needs for further research. In patients suspected of increased intracranial pressure, transorbital ultrasound with measurement of the optic sheath diameter may be useful in monitoring patients. The management of headache patients needs to be critically evaluated to optimize treatment continuously. Conclusion: A Headache Diagnostic Laboratory is very useful and should be an integrated part of headache care and management at tertiary headache centers.
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Souza, Delon D., Sonia Shivde, Poonam Awatare, Amrutha Avati, Saji K. John, Sagar Badachi, Raghunandan Nadig, GRK Sarma i Thomas Mathew. "Headaches associated with acute SARS-CoV-2 infection: A prospective cross-sectional study". SAGE Open Medicine 9 (styczeń 2021): 205031212110502. http://dx.doi.org/10.1177/20503121211050227.
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Objectives: The prevalence and characteristics of COVID-19-related headaches are not known in Indian patients. We aim to determine the prevalence and characteristics of headache in COVID-19-infected individuals and make a comparison with those without headaches. Methods: This prospective cross-sectional observational study was conducted from 1 October to 31 October 2020. Data were collected using a detailed questionnaire. We compared the data of those with and without headaches to identify the differences between the groups. Results: During the study period of 1 month, among 225 COVID-19-infected patients, 33.8% patients had headaches. The mean age of patients with headache was 48.89 ± 15.19 years. In all, 53.9% were females. In 65.8%, headache occurred at the onset of viral illness; 44.7% described the headache as dull aching; 39.5% had bifrontal headache; and 32.9% had holocranial headache. In total, 78.9% had complete resolution of headache within 5 days. A comparison between those with and without headaches showed that those with headaches were more younger (48.89 ± 15.19 vs 54.61 ± 14.57 years, p = 0.007) and of female gender (41/76(53.9%) vs 41/149 (27.5%), p = 0.001). Primary headache disorders were more common in the headache group. Levels of inflammatory markers such as leukocyte count (7234.17 ± 3054.96 vs 8773.35 ± 5103.65, p = 0.017), erythrocyte sedimentation rate (39.28 ± 23.29 vs 50.41 ± 27.61, p = 0.02) and ferritin (381.06 ± 485.2 vs 657.10 ± 863.80, p = 0.014) were lower in those with headaches. Conclusions: Headaches are a common and early symptom of acute SARS-CoV-2 infection more frequently seen in young females and in those with a history of primary headache disorders. The lower level of inflammatory markers in those with headaches suggests that these headaches are probably due to the local spread of virus through the trigeminal nerve endings, resulting in activation of the trigeminovascular system.
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Schwedt, Todd J., Robert W. Gereau, Karen Frey i Evan D. Kharasch. "Headache outcomes following treatment of unruptured intracranial aneurysms: A prospective analysis". Cephalalgia 31, nr 10 (11.03.2011): 1082–89. http://dx.doi.org/10.1177/0333102411398155.
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Objective: To analyze headache patterns prior to and following treatment of unruptured intracranial aneurysms and identify factors associated with different headache outcomes. Methods: A prospective observational study of patients being treated for unruptured intracranial aneurysms. Headache patterns were established prior to aneurysm treatment and for 6 months following treatment. Factors associated with different headache outcomes were investigated. Results: In all patients ( n = 44), 90-day headache frequency decreased from an average of 31 days prior to aneurysm treatment to 17 days following treatment ( p < 0.001). In patients with active pretreatment headaches ( n = 28), 90-day headache frequency decreased from 49 days to 26 days ( p = 0.002). Headache frequency was reduced in 68% of patients, while 9% of patients had new or worsened headaches following aneurysm treatment. Pretreatment migraine, more severe pretreatment headaches, higher pretreatment trait anxiety, and stent-assisted aneurysm coiling were associated with a lack of headache improvement. Conclusions: The majority of patients with headaches at the time of aneurysm treatment had reductions in headache frequency during the 6 months following treatment. Potential risk factors for poor headache outcomes were identified but need to be studied further.
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Greenfield, Daniel P., i Subramanian Hariharan. "Diagnosis and Clinical Management of Headaches". CNS Spectrums 4, nr 9 (wrzesień 1999): 32–37. http://dx.doi.org/10.1017/s1092852900012153.
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AbstractIn this article, we will first present an overview of the epidemiology and classification of headaches, distinguishing between primary headaches (in which the headache itself is the primary disorder) and secondary headaches (ie, headaches due to an underlying condition, such as a neoplastic and/or space-occupying lesion, a cerebrovascular accident, or other type of structural brain lesion). We will use the current classification system of the International Headache Society, focusing on primary headache disorders (migraine, tension-type headache, cluster headache), which we will discuss from the practical clinical perspectives of diagnosis and clinical management. Throughout this article, we will emphasize the chronicity and periodicity of headaches as a type of chronic pain syndrome.
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Nikic, Petar, Jasna Zidverc-Trajkovic, Branislav Andric, Marija Djuric i Biljana Stojimirovic. "Headache associated with hemodialysis". Srpski arhiv za celokupno lekarstvo 136, nr 7-8 (2008): 343–49. http://dx.doi.org/10.2298/sarh0808343n.
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INTRODUCTION Hemodialysis (HD) is one of the most accessible methods for the treatment of the growing number of patients suffering from terminal-stage renal insufficiency. Although headache is the most frequently encountered neurological symptom during HD, there are few studies reporting its prevalence and clinical features. OBJECTIVE The objective of this study was to examine the frequency, demographic and clinical features of headache during HD, and to compare these parameters among patients with and without headache. METHOD The study involved 126 patients (48 female and 78 male) with chronic renal failure on regular HD for at least six months, at the Dialysis Unit of Nephrology Department, Krusevac. All patients were inquired about their possible problems with headache using the standardized questionnaire designed according to the diagnostic criteria of the International Headache Classification of Headache Disorders, second edition, published in 2004 (ICHD-II). Subsequently, the patients were clinically evaluated and patients with headaches were further sub classified by a neurologist with special interest in headache disorders. Patients with headache were compared to the patients without headache regarding age, sex, duration of HD, causes of end-stage renal disease, arterial diastolic and systolic blood pressure, and serum values of the most important blood parameters such as sodium, potassium, urea and creatinine. In the group of patients with headache we analyzed the characteristics of specific headache type according to ICHD-II classification. We also analyzed the most important clinical features of hemodialysis headache (HDH). RESULTS In the group of 126 evaluated patients, 41 (32.5%) patients had headaches. There were no statistically significant differences between the patients with headaches and those without headaches regarding sex, age, BMI, duration of HD, causes of end-stage renal disease, arterial blood pressure, red blood cell count, serum concentration of hemoglobin, blood urea nitrogen, creatinine, glucose, MCHC, total protein, sodium and potassium. Fourteen patients (34% of those with headaches) experienced headache during the HD session and were sub classified as HDH using diagnostic criteria of the International Headache Society. Tension type headache (41% of those with headaches) and migraine without aura (10%) were most common in the primary headache group and headache due to arterial hypertension (7%) was the most prevalent among the secondary headaches. Although there were some common clinical characteristics, we could not find a unifying clinical pattern in the patients with HDH. CONCLUSION Hemodialysis headache is the most common headache in patients undergoing hemodialysis, and despite some common symptoms, it does not appear to be uniform in its clinical characteristics.
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Bisdorff, Alexandre, Colette Andrée, Michel Vaillant i Peter S. Sándor. "Headache-associated dizziness in a headache population: Prevalence and impact". Cephalalgia 30, nr 7 (12.03.2010): 815–20. http://dx.doi.org/10.1177/0333102409353617.
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Headache is an underestimated burden on general health and social functioning. Accompanying symptoms of headache episodes might influence this impact. In a survey in a headache population in Luxembourg on the social and emotional impact of headaches, accompanying symptoms of headache episodes were evaluated. In 1909 participants with episodic (<15 days per month) headaches (77.1% women), visual symptoms (52.4%) and dizziness (51.1%) were frequent accompanying symptoms of headache episodes. Visual symptoms and dizziness were each independently associated with migraine in both genders and independently associated with greater headache-related disability (scored on the Migraine Disability Scale [MIDAS]), more severe depression, and higher disability as measured by the disease-independent World Health Organization Disability Assessment Schedule (WHODAS). We found that dizziness is a frequent accompanying symptom of headache, particularly in migraine. The presence of dizziness was found to have an exacerbating impact on disability and depression associated with headaches. The effect of dizziness was comparable in magnitude and independent from the presence of visual symptoms.
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Fofi, Luisa, Valerio Orlandi, Nicola Vanacore, Maria C. Mizzoni, Alba Rosa, Cinzia Aurilia, Gabriella Egeo, Pietro Casella i Piero Barbanti. "Headache in chronic cocaine users: A cross-sectional study". Cephalalgia 34, nr 9 (5.02.2014): 671–78. http://dx.doi.org/10.1177/0333102414520764.
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Background Headache is one of the most common symptoms after cocaine use. Methods We investigated headache frequency and characteristics and the correlation between headache and acute cocaine intake in a cross-sectional study in a consecutive series of chronic cocaine users. Results Participation rate was 94.1%. Of the 80 subjects enrolled, 72 (90%) reported current headaches, in most cases migraine or probable migraine without aura. Of these 72, 29 (40.3%) had a headache history, whereas 43 (59.7%) reported de novo headache after beginning to use cocaine. After acute cocaine use, a large percentage of users reported headache attacks: 86.2% of previous headache sufferers (migraine or probable migraine without aura in all cases) and 93% of de novo headache sufferers (migraine/probable migraine without aura = 35; episodic tension-type headache = three patients; cocaine-induced headache= two patients). Most subjects reported that when they used cocaine headaches worsened. Conclusion Chronic cocaine use frequently seems to worsen or induce headache with migraine or migraine-like characteristics, probably owing to a serotoninergic and dopaminergic system impairment. In headache sufferers, especially those with migraine headaches, clinicians should enquire into possible cocaine use.
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Verdelho, A., JM Ferro, T. Melo, P. Canhão i F. Falcão. "Headache in Acute Stroke. A Prospective Study in the First 8 Days". Cephalalgia 28, nr 4 (kwiecień 2008): 346–54. http://dx.doi.org/10.1111/j.1468-2982.2007.01514.x.
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We aimed to describe and classify headaches associated with acute stroke, by interviewing patients consecutively admitted to a stroke unit using a validated headache questionnaire and the International Classification of Headache Disorders of the International Headache Society (IHS). One hundred and twenty-four patients (61% ischaemic and 39% haemorrhagic stroke) reported headache. Headaches started mostly on the day of stroke, were more often continuous, pressure-type, bilateral and located in the anterior region, were increased by movement and by cough and lasted for a mean of 3.8 days. Tension-type was the most frequent type of headache. Eleven per cent of headaches could not be classified using the criteria of the IHS. Previous primary headache was documented in 71 patients. The presence of nausea/vomiting due to acute stroke can confound headache classification using the IHS criteria. In up to half of the patients, headache seems to be a reactivation of previous primary headache.
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Miller, Vanessa E., Keturah R. Faurot, Olafur S. Palssson, Beth A. MacIntosh, Chirayath Suchindran, Gilson Honvoh, Susan Gaylord, Christopher E. Ramsden i J. Douglas Mann. "Comparing prospective headache diary and retrospective four-week headache questionnaire over 20 weeks: Secondary data analysis from a randomized controlled trial". Cephalalgia 40, nr 13 (16.08.2020): 1523–31. http://dx.doi.org/10.1177/0333102420949180.
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Background Headache diaries and recall questionnaires are frequently used to assess headache frequency and severity in clinical and research settings. Methods Using 20 weeks of data from an intervention trial with 182 participants, we evaluated concordance between an electronic headache diary administered on a daily basis and designed to capture the presence and severity of headaches on an hourly basis (the headache diary) and a recall questionnaire, with retrospective estimation of the number of headache days assessed on a monthly basis. We further examined whether the duration or severity of headaches assessed by the electronic diary impacted concordance between these two measures. Results Over the course of four 28-day periods, people with migraine participating in a dietary intervention reported an average of 13.7 and 11.1 headache days in the headache diary and recall questionnaire, respectively. Conclusion Over time, the concordance between headache days reported in these two measures tended to increase; however, the recall questionnaire headache estimates were lower than the diary measures in all four periods. When analysis was restricted to headaches lasting 8 hours or more, the number of headache days was more closely aligned with days reported in the recall questionnaire, indicating that the accuracy of recall estimates is likely to be influenced by headache duration. Restriction of analyses to moderate-to-severe headaches did not change results as much as headache duration. The findings indicate that recall questionnaires administered on a monthly basis may underestimate headache frequency and therefore should not be used interchangeably with headache diaries. Clinical Trials.gov Identifier: NCT02012790
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Zwart, J.-A., G. Dyb, TL Holmen, LJ Stovner i T. Sand. "The Prevalence of Migraine and Tension-Type Headaches Among Adolescents in Norway. The Nord-Trøndelag Health Study (Head-Hunt-Youth), A Large Population-Based Epidemiological Study". Cephalalgia 24, nr 5 (maj 2004): 373–79. http://dx.doi.org/10.1111/j.1468-2982.2004.00680.x.
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The aim of this study was to examine the prevalence of headache and primary headache disorders like migraine and tension-type headaches among adolescents, and to explore the differences in headache prevalence and frequency by gender and age. This cross-sectional study was conducted in Nord-Trøndelag county, Norway, during the years 1995-97. In total, 8984 (88%) out of 10 202 invited adolescents aged 12-19 years participated in the youth part of the Nord-Trøndelag Health Study [Helseundersøkelsen i Nord-Trøndelag (HUNT)]. The total study population in this study consisted of 8255 individuals after exclusion of invalid questionnaires and students outside the target range of 13-18 years of age. The students completed a comprehensive questionnaire, and one of the questions was whether the students had experienced any headaches during the last 12 months. In addition, 5847 of these students were also subject to an interview in which they were asked whether they had experienced recurring headaches during the last year and, if so, were they classified as migraine (MI), tension-type headache (TTH) or non-classifiable headache. In the total questionnaire-based population, 76.8% reported having had headaches during the last 12 months (69.4% boys and 84.2% girls). Among those who also were interviewed, 29.1% reported having recurrent headaches (21.0% boys and 36.5% girls). The overall 1-year prevalence of migraine was 7%, of tension-type headache 18%, and of non-classifiable headache 4.8%. Higher prevalence rates were found for girls in all age groups and for all headache categories. The overall frequency of recurrent headaches did not vary significantly with age, but girls had significantly more frequent headaches than boys. We concluded that headache in general, and recurrent primary headache disorders like migraine and tension-type headaches, are common somatic complaints among Norwegian adolescents, especially among girls.
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Silva-Néto, Raimundo Pereira, Ânderson Batista Rodrigues, Dandara Coelho Cavalcante, Pedro Henrique Piauilino Benvindo Ferreira, Ema Pereira Nasi, Kamila Maria de Holanda Sousa, Mário Fernando Pietro Peres i Marcelo Moraes Valença. "May headache triggered by odors be regarded as a differentiating factor between migraine and other primary headaches?" Cephalalgia 37, nr 1 (30.09.2016): 20–28. http://dx.doi.org/10.1177/0333102416636098.
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Objectives The objective of this article is to characterize olfactory stimulation as a trigger of headaches attacks and differentiation between migraine and other primary headaches. Participants and methods The study was prospective and experimental, with comparison of groups. A total of 158 volunteers (73 men and 85 women) were diagnosed with primary headaches, according to the criteria of the International Classification of Headache Disorders, Third Edition (beta version) (ICHD-3β). The study was conducted by two examiners; one of them was assigned to diagnose the presence and type of primary headache, while the other was responsible for exposing the volunteers to odor and recording the effects of this exposure. Results Of the 158 volunteers with headache, there were 72 (45.6%) cases of migraine and 86 (54.4%) with other primary headaches. In both groups, there were differences in headache characteristics (χ2 = 4.132; p = 0.046). Headache attacks (25/72; 34.7%) and nausea (5/72; 6.9%) were triggered by odor only in patients with migraine, corresponding to 19.0% (30/158) of the sample, but in none with other primary headaches (χ2 = 43.78; p < 0.001). Headache occurred more often associated with nausea ( p = 0.146) and bilateral location ( p = 0.002) in migraineurs who had headache triggered by odor. Headache was triggered after 118 ± 24.6 min and nausea after 72.8 ± 84.7 min of exposure to odor. Conclusions The odor triggered headache attacks or nausea only in migraineurs. Therefore, headache triggered by odors may be considered a factor of differentiation between migraine and other primary headaches and this trigger seems very specific of migraine.
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Knezevic-Pogancev, Marija. "Recurrent headache and migraine heritability: Twin study". Genetika 43, nr 3 (2011): 595–606. http://dx.doi.org/10.2298/gensr1103595k.
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The aim of the study was to determine recurrent headache (migraine and non-migraine) heritability, among the twin pairs. Headache hritability was investigated among 396 twin pairs (42.4% monozygotic and 57.6% dizygotic) aged 3 to 21 years, on north part territory of Serbia-Vojvodina, during the 20 years period. Within the group of tested twin persons, 30.2% had recurrent headaches, 9.2% migraine headache and 21% other recurrent non-migraine headaches. Heritability quotient of all recurrent headaches was 0.3882. For non- migraine headaches heritability quotient of 0.2286 confirmed that the external factors influence is higher than heritability. Migraine headache heritability quotient 0.8598 clearly proved the heritability of the migraine headache. Both, correlation and determination quotient of the migraine headache of all the twins (r12 0.7498; r21256.12%), monozygotic (r120.8458; r1271.54%) and dizygotic (r120.6342; r21240.22%), show high degree of migraine headache twin siblings dependence, and higher correlation and significance of the difference with monozygotic twins.
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Constantinides, Vasilios, Evangelos Anagnostou, Anastasia Bougea, George Paraskevas, Elisavet Kapaki, Ioannis Evdokimidis i Evangelia Kararizou. "Migraine and tension-type headache triggers in a Greek population". Arquivos de Neuro-Psiquiatria 73, nr 8 (sierpień 2015): 665–69. http://dx.doi.org/10.1590/0004-282x20150093.
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Migraine and tension type headache are the two most common primary headaches. The purpose of this study was to detect differences in clinical characteristics and headache triggers and in a Greek cohort of 51 migraineurs and 12 patients with tension-type headache. (TTH) Migraine patients had a significantly lower age at headache onset and frequency, higher mean visual analogue scale (VAS) and greater maximum duration of headache episodes compared to TTH patients. They did not differ from (TTH) patients in quality of headache, laterality of pain, way of headache installation and progression and temporal pattern of headaches. Nausea, vomiting and phonophobia were more frequent in migraine. Triggering of headaches by dietary factors was associated with migraine, whereas there was no difference between the two groups in any of the other headache triggers. Stress, both physical and psychological, were particularly common in both patient groups.
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Antoniazzi, AL, ME Bigal, CA Bordini i JG Speciali. "Headache Associated with Dialysis: the International Headache Society Criteria Revisited". Cephalalgia 23, nr 2 (marzec 2003): 146–49. http://dx.doi.org/10.1046/j.1468-2982.2003.00510.x.
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The International Headache Society (IHS) criteria for headache related to haemo-dialysis consider that the headaches must begin during haemodialysis and terminate within 24 h. Twenty-eight patients whose headaches started by the time they entered the dialysis programme were prospectively studied. We were not able to classify eight patients that presented the headaches between the sessions. Despite the small number of patients in our study being too low to provide a basis for change in the IHS classification, it serves as an observational report demonstrating possible varieties of headache related to haemodialysis.
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Susanti, Restu. "POTENTIAL GENDER DIFFERENCES IN PATHOPHYSIOLOGY OF MIGRAINE AND TENSION TYPE HEADACHE". Human Care Journal 5, nr 2 (25.05.2020): 539. http://dx.doi.org/10.32883/hcj.v5i2.749.
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<p><em>Headache is one of the most common symtomps which cause patients consult a neurologist. Primary headache is headache without other underlying diseases. Primary headaches can be divided into migraine headaches, tension</em><em> </em><em>types-headache, trigeminal autonomic cephalalgias, and other types of headaches. Sex differences play a role in the perception of headache. Theories regarding hormonal, the number of pain-sensitive points, subjectivity, and psychosocial factors are mostly related to the differences of migraine and TTH pathophysiology between women and men.</em></p>
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Tiwari, Priyal, Pushpendra Nath Renjen i Dinesh Mohan Chaudhari. "Ictal epileptic headache in young female". International Journal of Advances in Medicine 10, nr 12 (24.11.2023): 849–51. http://dx.doi.org/10.18203/2349-3933.ijam20233570.
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The establishment of a temporal association between a hybrid of headache and epilepsy is essential for correct diagnosis and management of headache. Epilepsy-associated headaches (such as migralepsy, hemicrania epileptica, post ictal headache and ictal epileptic headaches) may be similar to the patients' usual headache or may be a new type of headache. The location of headaches is unrelated to the EEG localization of epileptic aura or ictal discharges. The only established association of location of headaches and epilepsy is seen in cases of migraine with a visual aura which seems to precede few instances of occipital epilepsy. EEG helps to distinguish epileptic headache from non-epileptic headache during ictus (convulsive or non-convulsive). Hemicrania epileptica is a rare type of EEG-demonstrated ictal epileptic headache characterized by migrainous features (such as unilateral, throbbing pain associated with nausea, vomiting, scintillating scotomas, and flashing lights) occurring during an ictal EEG. We should watch for migrainous visual auras (flashing lights and scintillating scotomas) and distinguish them from occipital lobe seizures (aura including visual hallucinations) with the help of clinical features and simultaneous demonstration of ictus on EEG. We report a case of a 28-year-old female presenting with a new headache as a sole feature of posterior lobe non-epileptic seizure. Early diagnosis of painful seizures leads to timely treatment of the episodic headaches using anti-epileptic therapy.
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Esparham, Anna, Madeline Boorigie, Saniya Ablatt, Mark Connelly i Jennifer Bickel. "Improving Acute Treatment of Pediatric Primary Headache Disorders With a Novel Headache Treatment Center: Retrospective Review of Preliminary Outcomes". Journal of Child Neurology 36, nr 1 (1.09.2020): 54–59. http://dx.doi.org/10.1177/0883073820952997.
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Objective: To determine preliminary outcomes of targeted headache treatments provided at a novel outpatient acute care pediatric headache treatment center. Background: Limitations exist in acute management of pediatric headaches, including inadequate access to specialty headache therapies and headache specialists in acute settings, variable success of emergency room treatments, and omission of comfort measures. An outpatient acute headache care clinic (the “Headache Treatment Center”) was strategically initiated at a Midwestern pediatric academic hospital to provide acute and targeted headache therapies for children with active headaches. Methods: We conducted a retrospective chart review of 154 visits from September through November 2018 of patients ages 7-18 years visiting the Headache Treatment Center. Results: On average, headache intensity (measured on an 11-point pain numeric rating scale) decreased after interventions used in the Headache Treatment Center (mean change = 2.85 ± 2.81, P < .05, Cohen d = 1.01). Large effect sizes for reducing headache intensity were observed for pericranial, occipital/auriculotemporal, and occipital nerve blocks, Cohen d = 1.56, 1.64 and 1.02, respectively. Large effect sizes for reducing headache intensity also were observed for a transcutaneous supraorbital nerve stimulator device (Cefaly) (Cohen d = 1.02), acupuncture (Cohen d = 1.09), and intravenous migraine cocktails (Cohen d = 0.91-1.34). Conclusion: Targeted headache therapies to abort pediatric primary headaches as part of a novel headache clinic model may be beneficial for short-term management.
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Simić, Svetlana, Tamara Rabi-Žikić, José R. Villar, José Luis Calvo-Rolle, Dragan Simić i Svetislav D. Simić. "Impact of Individual Headache Types on the Work and Work Efficiency of Headache Sufferers". International Journal of Environmental Research and Public Health 17, nr 18 (22.09.2020): 6918. http://dx.doi.org/10.3390/ijerph17186918.
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Background: Headaches have not only medical but also great socioeconomic significance, therefore, it is necessary to evaluate the overall impact of headaches on a patient’s life, including their work and work efficiency. The aim of this study was to determine the impact of individual headache types on work and work efficiency. Methods: This research was designed as a cross-sectional study performed by administering a questionnaire among employees. The questionnaire consisted of general questions, questions about headache features, and questions about the impact of headaches on work. Results: Monthly absence from work was mostly represented by migraine sufferers (7.1%), significantly more than with sufferers with tension-type headaches (2.23%; p = 0.019) and other headache types (2.15%; p = 0.025). Migraine sufferers (30.2%) worked in spite of a headache for more than 25 h, which was more frequent than with sufferers from tension-type and other-type headaches (13.4%). On average, headache sufferers reported work efficiency ranging from 66% to 90%. With regard to individual headache types, this range was significantly more frequent in subjects with tension-type headaches, whereas 91–100% efficiency was significantly more frequent in subjects with other headache types. Lower efficiency, i.e., 0–40% and 41–65%, was significantly more frequent with migraine sufferers. Conclusions: Headaches, especially migraines, significantly affect the work and work efficiency of headache sufferers by reducing their productivity. Loss is greater due to reduced efficiency than due to absenteeism.
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Greve, Esther, i Jesper Mai. "Cluster Headache-Like Headaches: A Symptomatic Feature?: A Report of Three Patients with Intracranial Pathologic Findings". Cephalalgia 8, nr 2 (czerwiec 1988): 79–82. http://dx.doi.org/10.1046/j.1468-2982.1988.0802079.x.
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This report concerns three patients with cluster headache-like headaches associated with intracranial pathologic findings. The question whether the occurrence of cluster headache-like headaches may be a symptomatic feature is still not solved. In two of the three presented cases the cluster headache-like headaches disappeared when the intracranial abnormalities were treated.
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Hua, Anita Yuyan. "Analysis of Pharmaceutical Therapies for Primary Headache". Highlights in Science, Engineering and Technology 74 (29.12.2023): 836–44. http://dx.doi.org/10.54097/c7jwdg34.
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Primary headaches, secondary headaches, neuropathies and facial pains, and other headaches are the four types of headache disorders, in which primary headache disorder includes migraine, cluster headache, tension-type headache, and new daily persistent headache. Pathologies of migraine and cluster headaches are still unclear but possible explanations are proved to be related to trigeminal neurons, calcitonin gene-related peptide (CGRP) release, and neuroinflammation. This research listed these possible explanations and summarized the basic factors of migraine and cluster headache attacks. Based on the pathologies, various choices of therapies were introduced. This research mentioned typical pharmaceutical therapies for headaches, including nonsteroidal anti-inflammatory drugs, paracetamol, 5-HT1 receptor agonists involving triptan and dihydroergotamine mesylate, opioids, caffeine, and botulinum toxin. Furthermore, new medications in recent studies, including CGRP antagonists and caffeine were noticed as well. Related reliable mechanisms and side effects of all these drugs were highlighted in this review. Realizing the pros and cons of current treating medications is significant for better understanding on mechanism of headaches and designing more effective drugs in order to offer better promise on treating therapies.
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Djuric, Marija, Jasna Zidverc-Trajkovic, Nadezda Sternic, Jasna Trbojevic-Stankovic, Ivko Maric, Miodrag Milic i Biljana Stojimirovic. "Hemodialysis-related headaches". Vojnosanitetski pregled 64, nr 5 (2007): 319–23. http://dx.doi.org/10.2298/vsp0705319d.
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Background/Aim. Hemodialysis (HD) is a therapeutic procedure used to partially correct homeostatic disorders and prevent complications of uremia to appear in the terminal stage of renal insufficiency. The aim of this study was to evaluate and analyze the incidence and features of headaches in patients undergoing hemodialysis. Methods. A total of 143 patients, 50 women and 93 men, undergoing hemodialysis, were questioned about their problems with headache using a questionnaire designed according to the diagnostic criteria of the International Headache Classification of Headache Disorders from 2004. The patients were separated into two groups: the patients without headache and the patients with repeated headaches. Afterwards, the patients with headaches were further divided into subgroups: the patients who had the headaches before the beginning of HD and patients who experienced repeated headaches with the beginning of HD headache (HDH). In the group of patients with headaches we analyzed characteristics of headache according to which diagnoses of headaches were made, as well as the effects of HD on headaches. We also analyzed features of HDH. The patients with headache were compared to the patients without headache regarding sex, age, duration of HD, causes of end-stage renal disease, arterial diastolic and systolic blood pressure and serum concentration of hemoglobin, urea nitrogen, creatinine, sodium and potassium. The results were statistically compared. Results. In the group of 143 patients examined, 27 (18.9%) patients had headaches. There were no statistically significant differences between the group of patients with headaches and those without headache regarding to sex, age, duration of HD, causes of end-stage renal disease, serum concentration of hemoglobin, urea nitrogen, creatinine, sodium and potassium. The patients with headaches showed significantly higher mean values of systolic blood pressure during HD in comparison to the patients without headaches (p = 0.029). There was no statistically significant difference between the two groups regarding the mean values of diastolic blood pressure. Nineteen (13.3%) patients had had headache before starting HD. HD did not have any effect on the characteristics of headaches in more than a half of these patients. In 8 (5.6%) patients we diagnosed HDH using the diagnostic criteria of the International Headache Classification of Headache Disorders from 2004. HDH showed similar characteristics in all the patients: it appeared mostly in men, during the 4th hour of HD, lasted less than four hours, it was localized bilaterally in the frontal parts of the head, strong in intensity, throbbing and without the associated symptoms. Conclusion. The results of our study clearly showed that HDH was a particular entity of headache, not only because of its connection with HD, but because it had similar characteristics in all the patients in which it had appeared. Finding out the pathophysiological mechanisms of their occurrence would significantly improve the quality of life style of patients on hemodialysis. .
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Lupi, Chiara, Luana Evangelista, Valentina Favoni, Antonio Granato, Andrea Negro, Lanfranco Pellesi, Raffaele Ornello i in. "Rare primary headaches in Italian tertiary Headache Centres: Three year nationwide retrospective data from the RegistRare Network". Cephalalgia 38, nr 8 (12.05.2018): 1429–41. http://dx.doi.org/10.1177/0333102418768824.
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Background Rare primary headaches are mainly included in Chapters 3, Trigeminal autonomic cephalalgias, and 4, Other primary headache disorders, Part One of the International Classification of Headache Disorders 3rd edition. Epidemiological data are scarce, mostly emerging from case series or small studies, with the exception of cluster headache. In order to overcome the knowledge gap about rare primary headaches, the RegistRare Network was launched in 2017 to promote research in the field. Methods A retrospective cohort study including patients who, from April 30, 2014 to May 1, 2017, visited seven Italian tertiary Headache Centres, was undertaken to estimate in that clinical setting prevalence and incidence of headaches included in Chapters 3 and 4, Part One of the International Classification of Headache Disorders 3rd edition. Prevalent headache is defined as a headache recorded within the study timeframe, regardless of when the diagnosis was made. Incident headache is defined as a headache diagnosed for the first time in the patient during the study period. Results Twenty thousand and eighty-three patients visited the participating centres, and 822 (4.1%) prevalent cases, of which 461 (2.3%) were incident cases, were registered. Headaches listed in Chapter 3 affected 668 patients, representing 81.3% of the total number of prevalent cases. Headaches listed in Chapter 4 affected 154 patients and represent 18.7% of the total number of prevalent cases. Cluster headaches represent the most frequently diagnosed rare headaches (70.4%). For 13 entities out of 20, no cases were registered in more than 50% (n ≥ 4) of the centres, and for 14 entities more than 50% of diagnoses were incident. Conclusions This large, multicentre study gives the first wide-ranging snapshot of the burden in clinical practice of rare headaches and confirms that cooperative networks are necessary to study rare headaches, as their prevalence is often very low. The launch of a disease registry by the RegistRare Network will favour research in this neglected population of headache patients. Trial registration NCT03416114.
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Amiri, M., G. Jull, J. Bullock-Saxton, R. Darnell i C. Lander. "Cervical Musculoskeletal Impairment in Frequent Intermittent Headache. Part 2: Subjects With Concurrent Headache Types". Cephalalgia 27, nr 8 (sierpień 2007): 891–98. http://dx.doi.org/10.1111/j.1468-2982.2007.01346.x.
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A pattern of musculoskeletal impairment inclusive of upper cervical joint dysfunction, combined with restricted cervical motion and impairment in muscle function, has been shown to differentiate cervicogenic headache from migraine and tension-type headache when reported as single headaches. It was questioned whether this pattern of cervical musculoskeletal impairment could discriminate a cervicogenic headache as one type of headache in more complex situations when persons report two or more headaches. Subjects with two or more concurrent frequent intermittent headache types ( n = 108) and 57 non-headache control subjects were assessed using a set of physical measures for the cervical musculoskeletal system. Discriminant and cluster analyses revealed that 36 subjects had the pattern of musculoskeletal impairment consistent with cervicogenic headache. Isolated features of physical impairment, e.g. range of movement (cervical extension), were not helpful in differentiating cervicogenic headache. There were no differences in measures of cervical musculoskeletal impairment undertaken in this study between control subjects and those classified with non-cervicogenic headaches.
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González-Quintanilla, Vicente, Jorge Madera i Julio Pascual. "Update on headaches associated with physical exertion". Cephalalgia 43, nr 3 (14.02.2023): 033310242211469. http://dx.doi.org/10.1177/03331024221146989.
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Background Headaches associated with physical exertion include headache precipitated by coughing or other Valsalva maneuvers, headache brought on by prolonged physical exercise, sexual headaches and cardiac cephalalgia. Objective To review and update the clinical characteristics, etiologies, pathophysiology and management of these headaches related to exertion. Methods In depth review of the publications, both in PubMed and in the main textbooks, of the different headaches induced by physical exercise. Results Cough, exercise and sexual headaches can be primary or secondary; therefore, complementary studies are mandatory to rule out structural lesions. However, clinical characteristics, such as an old age and response to indomethacin for cough headache or being a young male and response to beta-blockers for exercise and sexual headaches, plus a normal examination are suggestive of a primary etiology. Etiology for secondary varieties, as posterior fossa lesions for cough headache or vascular malformations for exercise and sexual headaches, are also different. Finally, headache as a distant manifestation of myocardial ischemia, also known as “cardiac cephalalgia”, appears at exertion in around two-thirds of cases and typically lasts less than 30 minutes and is relieved by nitroglycerine. Conclusions Primary and secondary cough headache can usually be suspected based on clinical characteristics and separated from exercise and sexual headaches, which share many aspects. Cardiac cephalalgia is not necessarily an exertional headache and should be considered in adult patients with short lasting headaches and patent vascular risk factors.
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Finkel, Alan G., Juanita A. Yerry, John S. Klaric, Brian J. Ivins, Ann Scher i Young S. Choi. "Headache in military service members with a history of mild traumatic brain injury: A cohort study of diagnosis and classification". Cephalalgia 37, nr 6 (20.05.2016): 548–59. http://dx.doi.org/10.1177/0333102416651285.
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Introduction Headaches after concussion are highly prevalent, relatively persistent and are being treated like primary headaches, especially migraine. Methods We studied all new patients seen between August 2008 and December 2009 assessed by a civilian headache specialist at the TBI Center at Womack Army Medical Center, Fort Bragg, NC. We report sample demographics, injuries and headache characteristics, including time from injury to headache onset, detailed descriptions and International Classification of Headache Disorders second edition primary headache diagnosis type. Results A total of 95 soldiers reported 166 headaches. The most common injury cited was a blast (53.7%). Most subjects (76.8%) recalled the onset of any headache within 7 days of injury. The most commonly diagnosed headache was a continuous type with migraine features ( n = 31 (18.7%)), followed by chronic migraine (type 1.5.1, n = 14 (8.4%)), migraine with aura (type 1.2.1, n = 10 (6.0%)), hemicrania continua (type 4.7, n = 12 (7.2%)), chronic cluster (type 3.1.2, n = 6 (3.6%)) and headaches not otherwise classifiable (type 14.1, n = 5 (3.0%)) also present. The most clinically important was a continuous headache with migraine features. Conclusion We present a series of patients seen in a military treatment facility for headache diagnosis after concussion in whom we found migraine, as well as uncommon primary headache types, at frequencies that were much higher than expected.
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Аrtemenkо, Аda R., Olga A. Shavlovskaya, Vera V. Оsipovа, Gennadiy V. Kovrov i Rovshan L. Gasanov. "Sleep-related headaches: clinical features and treatment approaches". L.O. Badalyan Neurological Journal 1, nr 1 (19.04.2020): 35–46. http://dx.doi.org/10.17816/2686-8997-2020-1-01-35-46.
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Headaches occurring during sleep are one of the most common types of night time pain complaints, along with back pain. Sleep-related headaches can be a manifestation of both primary headaches (migraine, cluster headache, chronic paroxysmal hemicrania, hypnic headache) and secondary headaches associated with somatic pathology (anemia, hypoxemia), neurological disorders (brain tumors, arteriovenous malformations), psychiatric (depressive, anxiety) and sleep disorders (obstructive sleep apnea). The relationship between headaches and sleep depends on the patients age, frequency and severity of the headaches, provoking factors (excessive sleep, sleep deprivation, overuse of painkillers), the stage of sleep (REM sleep or slow-wave sleep) and possible genetic predisposition (hemiplegic migraine).
The connections between sleep and headaches are complex and interrelated. Sleep can both provoke and relieve headaches. On the other hand, headaches can cause sleep disorders, which are typical for a severe type of cephalgia with the development of chronic daily headache syndrome, medication overuse, and psychiatric comorbidity. General anatomical structures, neurochemical and neurophysiological mechanisms involved in sleep and headache regulation are assumed. According to polysomnography data, objective changes in the structure of night sleep were detected in patients with a sleep-related headache: a reduction in the sleep duration and a decrease in the slow-wave sleep representation. Most nighttime headache attacks are linked with the REM sleep phase.
Management of patients with sleep-related headaches should include the diagnosis and treatment of both headache and sleep disorder, which will significantly improve the results of treatment or even cure headaches in some cases.
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Rocha-Filho, PAS, JLD Gherpelli, JTT de Siqueira i GD Rabello. "Post-craniotomy headache: A proposed revision of IHS diagnostic criteria". Cephalalgia 30, nr 5 (1.10.2009): 560–66. http://dx.doi.org/10.1111/j.1468-2982.2009.02010.x.
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Seventy-nine patients with intracranial aneurysms were evaluated in the presurgical period, and followed up to 6 months after surgery. We compare patients who fulfilled with those that did not post-craniotomy headache (PCH) diagnostic criteria, according to the International Classification of Headache Disorders. Semistructured interviews, headache diaries, Short Form-36 and McGill Pain Questionnaire were used. Seventy-two patients (91%) had headaches during the follow-up period. The incidence of PCH according to the International Headache Society diagnostic criteria was 40%. Age, sex, type of surgery, temporomandibular disorder, vasospasm, presence and type of previous headaches, and subarachnoid haemorrhage were not related to headache classification. There were no differences in the quality of life, headache frequency and characteristics or pain intensity between patients with headache that fulfilled or not PCH criteria. We proposed a revision of the diagnostic criteria for PCH, extending the headache outset after surgery from 7 to 30 days, and including the presence of headaches after surgery in patients with no past history of headaches, or an increase in headache frequency during the first 30 days of the postsurgical period followed by a decrease over time. Using these criteria we would classify 65% of our patients as having PCH.
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De, Cadeo Chinh, i Hao Tam. "Unconventional Therapy on Headache from Anatomy and Physiology Standpoint". Journal of Asian Multicultural Research for Medical and Health Science Study 3, nr 2 (16.03.2022): 35–41. http://dx.doi.org/10.47616/jamrmhss.v3i2.263.
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This article discusses applied pharmacotherapy related to headaches and Gout. Headache is one of the frequently reported subjective complaints. Based on the causes, they are classified as primary headaches and secondary headaches. The aim of this paper is that students can know the definition of headache, know the classification of panic pain, know the anatomy and physiology of headache, know the prevention of headaches and adjunctive therapy and know the management for headaches.
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SAKOVETS, T. G., M. A. KHAIRULLOV, A. G. AKHUNOVA i R. I. DAVLETSHINA. "Cough headache: clinic, diagnostics, treatment". Practical medicine 22, nr 1 (2024): 14–17. http://dx.doi.org/10.32000/2072-1757-2024-1-14-17.
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Cough headache can be primary, characterized by a benign course, or symptomatic, resulting from pathologies of the posterior cranial fossa structures. According to the latest classification of the International Headache Society (IHS), primary cough headache is included in the «other primary headaches» registry and is defined as headache provoked by coughing, sneezing, or straining during defecation in the absence of any intracranial disorders. Symptomatic cough headache due to Chiari malformation is considered under the rubric of «headache associated with nonvascular intracranial lesions» and classified as headache associated with Chiari malformation type I. Different types of cough headaches require careful differential diagnosis and different treatment approaches.
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Nowak, Aleksandra, Aleksandra Babicz i Mariusz Nowak. "Primary headache – causes and differential diagnosis". Pediatria i Medycyna Rodzinna 17, nr 4 (31.12.2021): 310–14. http://dx.doi.org/10.15557/pimr.2021.0049.
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It is estimated that 30–80% of the population in Europe and the United States experience frequent and recurrent headaches, the most common of which are tension-type, migraine and cluster headaches. Migraine can also overlap with tension-type headache, which is referred to as vasomotor or mixed headache. According to the 3rd edition of the International Classification of Headache Disorders (ICHD-3 beta), these entities are classified as idiopathic (primary) headaches, where pain is both the essence and the main symptom of the disease. Idiopathic headaches are difficult to diagnose as they differ mainly in intensity. When collecting medical history, the focus should be placed on the duration and location of pain. Therefore, a thorough interview to assess subjective pain intensity is one of the basic elements of the diagnostic workup. Tension-type headache, migraine and cluster headaches are also characterised by specific symptoms, identification of which is essential for the diagnosis. Cluster headache produces the most typical symptoms. Since these types of headaches require different therapeutic strategies, it is necessary to differentiate them. Their treatment requires interdisciplinary cooperation of, among others, dentists, neurologists, and physiotherapists. In this paper, we made an attempt to discuss the pathogenesis, symptoms and differential diagnosis of tension headache, migraine and cluster headache, based on literature review.
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Rahman, A., R. Habib, NB Bhowmik i A. Haque. "Medication Overuse Headache: A Trap for the Headache Patients". BIRDEM Medical Journal 3, nr 2 (1.12.2013): 94–98. http://dx.doi.org/10.3329/birdem.v3i2.17213.
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Medication Overuse Headache (MOH) was previously termed analgesic rebound headache, drug-induced headache, and medication-misuse headache. It is not a primary headache but frequently coexists with primary chronic daily headache. All acute symptomatic medications used to treat headaches have the potential for causing MOH. Highest with opioids, butalbital-containing combination analgesics, and aspirin/ acetaminophen/caffeine combinations. The development is typically preceded by an episodic headache disorder, usually migraine or tension-type headache, that has been treated with frequent and excessive amounts of acute symptomatic medications. The diagnosis is based upon clinical impression. A history of analgesic use averaging more than two to three days per week in association with chronic daily headache is suggestive. The diagnosis is made when the pattern of frequent headaches fulfills the diagnostic criteria for MOH. The basic steps in the management: Patient education, withdrawal of the offending medication, bridge (transitional) therapy, establishment of a headache treatment regimen covering acute and preventive care, follow up and relapse prevention. Birdem Med J 2013; 3(2): 94-98 DOI: http://dx.doi.org/10.3329/birdem.v3i2.17213
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Jesus, Alan Chester Feitosa de, Hélio Araújo Oliveira, Marcelo Oliveira Ribeiro Paixão, Thalyta Porto Fraga, Felipe José N. Barreto i Marcelo Moraes Valença. "Clinical description of hemodialysis headache in end-stage renal disease patients". Arquivos de Neuro-Psiquiatria 67, nr 4 (grudzień 2009): 978–81. http://dx.doi.org/10.1590/s0004-282x2009000600003.
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BACKGROUND: Hemodialysis (HD)-related headaches are a common complaint of patients undergoing this procedure. OBJECTIVE: To determine the frequency and clinical characteristics of headache in patients undergoing HD and to discuss their diagnostic criteria. METHOD: The present study assessed, in a prospective manner, a series of patients consulting at a HD center in Aracaju, Sergipe, Brazil, from November 2007 to January 2008. Only patients with HD-related headaches without previous history of primary headache were diagnosed as isolated HD headache (HDH). RESULTS: Headache was reported by 76.1% of the patients studied. Prior to beginning dialysis, 47.9% had migraine without aura, 6.7% migraine with aura, 0.6% hemiplegic migraine, 5% episodic tension-type headache, and 2.5% migraine and tension-type headache. HDH was diagnosed in 6.7% of the patients, the most prevalent features being diffuse or temporal region location, bilateral headache, throbbing nature, and moderate severity. Seven patients with headaches between the sessions were not classified. CONCLUSION: While the pathophysiology of HDH is unknown, to diagnose patients with HDH or other possible HD-related headaches remains a challenge.
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Krogh, Anne-Berit, Bo Larsson i Mattias Linde. "Prevalence and disability of headache among Norwegian adolescents: A cross-sectional school-based study". Cephalalgia 35, nr 13 (26.02.2015): 1181–91. http://dx.doi.org/10.1177/0333102415573512.
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Background Headache is common in adolescents and affects schoolwork and relations with friends and family. In most previous epidemiological surveys, only the most bothersome headache has been documented. The aim was to determine headache prevalence not only taking into account the most bothersome headache, but also to compare characteristics of the most bothersome and less bothersome headaches, and to investigate headache-related disability. Methods A cross-sectional school-based study was conducted in which 493 representative adolescents aged 12–18 years were recruited by stratified cluster sampling and interviewed. Headache diagnosis was made according to the new classification system of the International Headache Society (ICHD-3 beta), and the Pediatric Migraine Disability Assessment (PedMIDAS) was used to evaluate disability. Results The one-year prevalence of any headache type, definite migraine, probable migraine and tension-type headache was 88%, 23%, 13% and 58%, respectively. The point prevalence of any headache was 38%. Nine percent of participants fulfilled criteria for more than one headache diagnosis. The most bothersome headache had a significantly longer duration ( p < 0.001) and higher intensity ( p < 0.001) than the less bothersome headache, but similar frequency ( p = 0.86). Adolescents with headaches lost up to nine days of activity each year, implicating headache as a major health issue. Conclusions Headaches are very common and disabling among adolescents. The full extent of this health problem is better appreciated if inquiry is not limited to the most bothersome subtypes.
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Sheftell, Fred, Mary Almas, Randall Weeks, Ninan T. Mathew, Verne Pitman i Richard B. Lipton. "Quantifying the return of headache in triptan-treated migraineurs: An observational study". Cephalalgia 30, nr 7 (17.03.2010): 838–46. http://dx.doi.org/10.1177/0333102409354390.
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To improve understanding of secondary treatment failure in migraine patients, we evaluated ‘headache return’ as a novel endpoint to assess returning headaches according to their severity, expanding on current standard assessments of overall recurrence or relapse rates, in a six-month observational study of triptan-treated migraineurs. A total of 359 patients (91% female; mean age, 42.5 years) recorded data for 2168 headaches in electronic diaries. Two-thirds of headaches responded to triptan treatment (improved-to-mild or no pain two hours post-dose); 34% of headaches had a pain-free response. By 48 hours post-dose, 19% of all responding headaches returned; 24% of headaches achieving a pain-free response returned, predominantly to mild pain. More severe baseline headache, short duration since diagnosis of migraine, and female gender were associated with increased likelihood of headache return. Treatment satisfaction declined with increasing severity of headache return, demonstrating the value of assessing headache return by severity to fully evaluate its impact.
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Huh, Billy K. "Peripheral Nerve Stimulation for the Treatment of Chronic Intractable Headaches: Long-term Efficacy and Safety Study". Pain Physician 5;18, nr 5;9 (14.09.2015): 505–16. http://dx.doi.org/10.36076/ppj.2015/18/505.
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Background: Despite the various modalities available for treating headaches, typical therapy does not provide adequate pain relief for some patients. Objectives: This study explored the efficacy and safety of long-term peripheral nerve stimulation (PNS) for intractable chronic headaches. Study Design: Retrospective study of refractory headache patients at academic pain center. Methods: The medical records of all patients (N = 46) permanently implanted with PNS between January 2005 and January 2012 were reviewed retrospectively. Patient records and phone interviews were used to quantify the levels of pain intensity, headache days per month, and overall patient satisfaction with treatment. The correlation between headache duration and effectiveness of PNS was also assessed. Results: Pain intensity on the 11-point Numeric Rating Scale decreased from 7.60 ± 1.73 before implantation to 3.78 ± 2.41, 3.32 ± 2.67, 3.42 ± 2.74, and 2.04 ± 2.27 at one, 6, 12, and > 12 (19 – 98) months after implantation, respectively (P < .001). The mean number of headache days per month decreased by about 14 days from the base line. No correlation (r = -.33) was found between the number of years the patients had suffered from headaches and the efficacy of treatment. Limitations: Due to the limitation of a retrospective study, the data collected via chart reviews and phone interviews are susceptible to selection and information biases. Conclusions: PNS is an effective modality in the long-term management of intractable chronic headaches. Despite long histories of chronic headaches, the majority of patients had significant reductions in pain scores and the number of headache days per month. The outcomes were not dependent on the number of years the patients had suffered from headaches before PNS treatment. Key Words: Migraine headache, refractory headache, chronic daily headache, occipital neuralgia, cluster headache, hemicranias continua, refractory headache, occipital nerve stimulation, peripheral nerve stimulation
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Katsuki, Masahito, Junko Kawahara, Yasuhiko Matsumori, Chinami Yamagishi, Akihito Koh, Shin Kawamura, Kenta Kashiwagi i in. "Questionnaire-Based Survey during COVID-19 Vaccination on the Prevalence of Elderly’s Migraine, Chronic Daily Headache, and Medication-Overuse Headache in One Japanese City—Itoigawa Hisui Study". Journal of Clinical Medicine 11, nr 16 (11.08.2022): 4707. http://dx.doi.org/10.3390/jcm11164707.
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Background: The prevalence of headache disorders, migraine, chronic daily headache (CDH), and medication-overuse headache (MOH) among the elderly in Japan has not been sufficiently investigated. We performed a questionnaire-based survey and revealed 3-month headache prevalence and headaches’ characteristics. Methods: The population aged over 64 was investigated in Itoigawa during their third coronavirus disease 2019 vaccination. Migraine, MOH was defined as The International Classification of Headache Disorders Third edition. CDH was defined as a headache occurring at least 15 days per month. K-means++ were used to perform clustering. Results: Among 2858 valid responses, headache disorders, migraine, CDH, and MOH prevalence was 11.97%, 0.91%, 1.57%, and 0.70%, respectively. Combined-analgesic and non-opioid analgesic were widely used. Only one migraineur used prophylactic medication. We performed k-means++ to group the 332 MOH patients into four clusters. Cluster 1 seemed to have tension-type headache-like headache characteristics, cluster 2 seemed to have MOH-like headache characteristics, cluster 3 seemed to have severe headaches with comorbidities such as dyslipidemia, stroke, and depression, and cluster 4 seemed to have migraine-like headache characteristics with photophobia and phonophobia. Conclusions: This is the largest prevalence survey in the Japanese elderly. Headache disorders are still the elderly’s burden. Clustering suggested that severe headaches associated with some comorbidities may be unique to the elderly.
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Bjorvatn, Bjørn, Ståle Pallesen, Bente E. Moen, Siri Waage i Espen Saxhaug Kristoffersen. "Migraine, tension-type headache and medication-overuse headache in a large population of shift working nurses: a cross-sectional study in Norway". BMJ Open 8, nr 11 (listopad 2018): e022403. http://dx.doi.org/10.1136/bmjopen-2018-022403.
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ObjectivesTo investigate associations between different types of headaches and shift work.Design, participants and outcome measuresNurses with different work schedules (day work, two-shift rotation, night work, three-shift rotation) participated in a cohort study with annual surveys that started in 2008/2009. In 2014 (wave 6), a comprehensive headache instrument was included in the survey, in which 1585 nurses participated. Headaches were assessed according to the International Classification of Headache Disorders IIIb. Frequent headache (≥1 day per month), migraine, tension-type headache, chronic headache (headache >14 days per month) and medication-overuse headache (chronic headache + acute headache medication ≥10 days last month) comprised the dependent variables. Adjusted (for sex, age, percentage of full-time equivalent, marital status, children living at home) logistic regression analyses were conducted with work schedule, number of night shifts worked last year, number of quick returns (<11 hours in-between shifts) last year, shift work disorder and insomnia disorder as predictors.ResultsFrequent headache, migraine and chronic headache were associated with shift work disorder (OR 2.04, 95% CI 1.62 to 2.59; 1.60, 1.21 to 2.12; 2.45, 1.25 to 4.80, respectively) and insomnia disorder (OR 1.79, 95% CI 1.43 to 2.23; 1.55, 1.18 to 2.02; 3.03, 1.54 to 5.95, respectively), but not with work schedule, number of night shifts or number of quick returns. Tension-type headache was only associated with >20 night shifts last year (OR 1.41, 95% CI 1.07 to 1.86). Medication-overuse headache was only associated with insomnia disorder (OR 7.62, 95% CI 2.48 to 23.41).ConclusionsWe did not find any association between different types of headaches and work schedule. However, tension-type headache was associated with high number of night shifts. Nurses with sleep disorders (insomnia disorder and shift work disorder) reported higher prevalence of frequent headaches, migraine, chronic headache and medication-overuse headache (only insomnia) compared with nurses not having insomnia disorder and shift work disorder, respectively.
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Selekler, H. Macit, i Faik Budak. "Idiopathic Stabbing Headache and Experimental Ice Cream Headache (Short-Lived Headaches)". European Neurology 51, nr 1 (2004): 6–9. http://dx.doi.org/10.1159/000074910.
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D'Amico, D., L. La Mantia, A. Rigamonti, S. Usai, N. Mascoli, C. Milanese, G. Bussone i C. Besta. "Prevalence of Primary Headaches in People with Multiple Sclerosis". Cephalalgia 24, nr 11 (listopad 2004): 980–84. http://dx.doi.org/10.1111/j.1468-2982.2004.00790.x.
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The aim was to investigate the lifetime prevalence of headache and primary headache (diagnoses according to International Headache Society criteria) in multiple sclerosis (MS). The relationships between headache and clinical features of MS and MS therapy were also investigated. We studied 137 patients with clinically definite MS; 88 reported headache, 21 of whom developed headache after the initiation of interferon. The prevalence of all headaches in the remaining 116 patients was 57.7%. Migraine was found in 25.0%, tension-type headache in 31.9%, and cluster headache in one patient. A significant correlation ( P = 0.007, Fisher's exact test) between migraine and relapsing-remitting MS was found. Primary headaches are common in MS patients. Further studies are needed to clarify the mechanisms underlying this association, particularly the association between migraine and relapsing-remitting MS, and the role of interferon in the development of new headache.
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Aykutlu, E., B. Baykan, G. Akman-Demir, B. Topcular i M. Ertas. "Headache in Behçet's Disease". Cephalalgia 26, nr 2 (luty 2006): 180–86. http://dx.doi.org/10.1111/j.1468-2982.2005.01017.x.
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The aim of this study was to investigate the characteristics of headache in patients with Behçet's disease (BD) seeking neurological consultation. Consecutive patients with BD seen within 1 year at the neuro-Behçet's out-patient clinic were studied using an electronic database according to the classification criteria of the International Headache Society. During a 12-month period 118 BD patients were admitted, and 98 had headaches. Migraine was the most common type of primary headache diagnosed in 45 patients (46.4%) in the whole headache group, followed by tension-type headache (TTH) in 26 cases (26.8%). Thirty-seven patients had secondary headaches mainly due to cerebral venous thrombosis or parenchymal neurological involvement of BD. Of these patients, 15 had both primary and secondary headaches. The primary headaches of 13 patients were exacerbated with systemic BD flare-ups, and four patients had migraine attacks triggered only by systemic BD activation which showed a good response to the treatment of systemic inflammation. The majority of the headaches of patients with BD do not indicate any neurological involvement; they are usually due to migraine or TTH. In a minority of patients, migraine associated with systemic inflammation of BD is notable.
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Sillanpää, Matti, i Maiju M. Saarinen. "Long term outcome of childhood onset headache: A prospective community study". Cephalalgia 38, nr 6 (22.08.2017): 1159–66. http://dx.doi.org/10.1177/0333102417727536.
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Purpose To examine prevalence, course, and long-term outcome of childhood migraine and other headaches. Method Using questionnaires, 1185 children were followed for recurrent headaches at ages seven, 14 and 32 years, respectively. Results At age seven years, 4.0% of the 1185 children (girls 3.7%, boys 4.3%) had migraine and 24% (25%/23%) had nonmigrainous headache. In adulthood, 16% (22%/8%) had migraine and 60% (64%/54%) nonmigrainous headache. Childhood migraine persisted into adulthood in 65% of females and 21% of males, and nonmigrainous headache in 62% and 59%, respectively. After childhood, 17% of females and 7% of males started to have episodes of migraine. No recurrent headache during the follow-up was reported by 11% (6%/16%). In a multivariate analysis, compared with no childhood headache, childhood migraine increased the risk of adulthood migraine by 3.36-fold (95% CI 1.94–5.82) and that of nonmigrainous headache by 1.72-fold (1.14–2.60). Discussion and conclusions Headaches are generally as common in preschool girls as boys. From early school years, headaches steadily increase up to young adulthood, but among boys the prevalence levels off after adolescence. About two thirds of children experienced changes in their headache status during a 25-year follow-up. Any kind of recurrent headache at school entry predicts an increased risk of headache in young adulthood. Special attention should be paid to girls and particularly those girls who have recurrent headache when they start school.
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Malik, Tahreem. "MRI Findings In Patients With Headache And Vertigo". Medical Science Journal for Advance Research 3, nr 4 (23.12.2022): 265–68. http://dx.doi.org/10.46966/msjar.v3i4.96.
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BACKGROUND:A headache is a condition of pain in the head. In Medical nomenclature, it is known as cephalgia.Primary and secondary headaches are the two forms of headaches. The first type of headache is primary headache, which includes migraine, cluster headaches, and tension headaches. They are non-aggressive in nature. Primary headaches are usually chronic in character and are caused by no underlying functional illness. The second type of headache is secondary headache, which is always brought on by major organic disorders. It can range from benign cranial conditions like sinusitis or mastoiditis to life-threatening intracranial pathologies like subarachnoid haemorrhage or brain tumours. Vertigo is a perception of motion or spinning that is often represented as dizziness. Vertigo is not the same as being featherbrained. People with vertigo tone as though they are actually handicraft or moving, or that the world is spinning around them. Vertigo is frequently caused by issues with certain regions of the brain. Vertigo can be caused by a variety of factors, including benign paroxysmal positional vertigo (BPPV), which occurs when certain head motions cause vertigo. Migraines are a type of severe headache. Mostly the patients with vertigo and headache normally do not require a brain MRI. For Secondary reason of headache,some patients need an brain MRI. MRI is best Diagnostic modality for the diagnosis and management of secondary headache and vertigo. CONCLUSION: Magnetic resonance imaging (MRI) is a finest diagnostic modality that creates detailed images of the organs and tissues in your body using a magnetic field and computer-generated radio waves. It is considered as the best diagnostic method for the diagnosis and therapy of secondary headache and vertigo. A modest percentage of medical institution fundamental positive findings in neuroimaging are seen in MRI of patients with headache. In these patients, the cost-effectiveness of MRI as a screening tool is of limited benefit.