Characteristics of Headache in Migraine Without Aura and Episodic Tension-Type Headache in The Turkish Population According to the IHS Classification

Cephalalgia ◽  
1994 ◽  
Vol 14 (2) ◽  
pp. 171-173 ◽  
Author(s):  
LE Inan ◽  
F Cankat Tulunay ◽  
A Guvener ◽  
G Tokgoz ◽  
N Inan
Keyword(s):  
Physical Activity ◽  
Severe Pain ◽  
Migraine Without Aura ◽  
International Headache Society ◽  
Turkish Population ◽  
Tension Type Headache ◽  
Ihs Classification ◽  
Type Headache ◽  
Headache Patients

We evaluated the characteristics of headache in migraine without aura and episodic tension-type headache diagnosed according to the International Headache Society (IHS) Classification. Fifty migraine without aura and 50 tension-type headache patients were selected prospectively. Fifty-eight percent of migraineurs had pain of a pulsating quality; 88% had severe pain and 74% had unilateral pain; aggravation by routine physical activity was reported by 96%. Episodic tension-type headache was of a pressing quality in 52%, moderate in 40%, bilateral in 82% and aggravated by routine physical activity in 16%. Nausea and/or vomiting, photophobia and phonophobia were reported significantly more commonly in migraineurs than tension-type headache patients.

scholarly journals Post-traumatic headache

2009 ◽  
Vol 67 (1) ◽  
pp. 43-45 ◽  
Author(s):  
Hugo André de Lima Martins ◽  
Valdenilson Ribeiro Ribas ◽  
Bianca Bastos Mazullo Martins ◽  
Renata de Melo Guerra Ribas ◽  
Marcelo Moraes Valença
Keyword(s):  
Head Injury ◽  
Migraine Without Aura ◽  
International Headache Society ◽  
Tension Type Headache ◽  
Time Interval ◽  
Mild Head Injury ◽  
Ihs Classification ◽  
Ihs Criteria ◽  
Post Traumatic ◽  
Type Headache

The onset of post-traumatic headache (PTC) occurs in the first seven days after trauma, according to the International Headache Society (IHS) classification. The objective of this study was to evaluate the several forms of headache that appear after mild head injury (HI) and time interval between the HI and the onset of pain. We evaluated 41 patients with diagnosis of mild HI following the IHS criteria. Migraine without aura and the chronic tension-type headache were the most prevalent groups, occurring in 16 (39%) and 14 (34.1%) patients respectively. The time interval between HI and the onset of headache was less than seven days in 20 patients (48.7%) and longer than 30 days in 10 (24.3%) patients. The results suggest that PTC may arise after a period longer than is accepted at the present by the IHS.

A Population-Based Analysis of the Diagnostic Criteria of the International Headache Society

Cephalalgia ◽  
1991 ◽  
Vol 11 (3) ◽  
pp. 129-134 ◽  
Author(s):  
Birthe Krogh Rasmussen ◽  
Rigmor Jensen ◽  
Jes Olesen
Keyword(s):  
Physical Activity ◽  
Diagnostic Criteria ◽  
International Headache Society ◽  
Normal Subjects ◽  
Population Based ◽  
Tension Type Headache ◽  
Headache Disorders ◽  
Specific Proposal ◽  
Accompanying Symptoms ◽  
Type Headache

In 740 representative normal subjects a diagnostic headache interview and a neurological examination provided the necessary information to classify headache disorders according to the operational diagnostic criteria of the International Headache Society (IHS). Sixteen per cent (n = 119) had migraine, 78% (n = 578) tension-type headache. In migraineurs, pain was of a pulsating quality in 78%, severe in 85%, unilateral in 62%, and aggravated by routine physical activity in 96%. Tension-type headache was of a pressing quality in 78%, mild or moderate in 99%, bilateral in 90%, and 72% had no aggravation by physical activity. The accompanying symptoms of nausea, photo- and phonophobia occurred frequently and were usually moderate or severe in migraine subjects, and if present in subjects with tension-type headache, they were usually mild. Only two subjects had unclassifiable headache. The IHS Classification is thus exhaustive. The criteria may be improved by mandatory demands to the criterion of pain intensity leaving other features of pain as supportive for the diagnosis and by including graded severity of accompanying symptoms. A specific proposal is given.

Evaluation of Chronic Daily Headache—Comparison to Criteria for Chronic Tension-Type Headache

Cephalalgia ◽  
1992 ◽  
Vol 12 (6) ◽  
pp. 365-368 ◽  
Author(s):  
Seymour Solomon ◽  
Richard B Lipton ◽  
Lawrence C Newman
Keyword(s):  
Chronic Daily Headache ◽  
Medication Overuse ◽  
International Headache Society ◽  
Tension Type Headache ◽  
Chronic Tension Type Headache ◽  
Ihs Classification ◽  
Analgesic Medication ◽  
Daily Headache ◽  
Ihs Criteria ◽  
Type Headache

The purpose of this study was to evaluate the adequacy of the International Headache Society (IHS) criteria for chronic tension-type headache and, if appropriate, suggest modifications of the IHS classification. We evaluated 100 consecutive patients with chronic daily headache. Approximately two-thirds of our patients fulfilled the criteria for chronic tension-type headache. Most of the patients who failed to meet the criteria did so because they had more than one migrainous feature. Approximately 50% of patients took excessive amounts of analgesic medication. We conclude that the IHS criteria should be modified to include chronic daily headache evolving from migraine; subtypes with and without medication overuse should be distinguished.

Trigemino-Cervical Reflex in Patients with Headache

Cephalalgia ◽  
2003 ◽  
Vol 23 (1) ◽  
pp. 35-38 ◽  
Author(s):  
I Milanov ◽  
D Bogdanova
Keyword(s):  
Pain Control ◽  
Healthy Subjects ◽  
Migraine Without Aura ◽  
Tension Type Headache ◽  
Nociceptive Reflex ◽  
Neurophysiological Studies ◽  
Brainstem Nuclei ◽  
Type Headache ◽  
Healthy Persons ◽  
Headache Patients

Neurophysiological studies have shown abnormal activity of some brainstem nuclei in headache patients. The trigemino-cervical reflex is an anti-nociceptive reflex that gives an opportunity for evaluation of the brainstem interneurone activity. It has not been previously examined in headache patients. We studied 15 patients with predominantly unilateral chronic tension-type headache, 15 patients with migraine without aura and 32 healthy subjects. The trigemino-cervical reflex was recorded bilaterally from the resting sterno-cleidomastoid muscle using surface electromyographic recordings. In all headache patients the trigemino-cervical reflex on the painful side was with shortened latency compared with the non-painful side and with healthy persons. The results suggest decreased activity of the brainstem inhibitory interneurones. We suggest that although the pathophysiological mechanisms of tension-type headache and migraine are different, they share common mechanisms of abnormal pain control.

Classification of Chronic Daily Headache by International Headache Society Criteria: Limits and New Proposals

Cephalalgia ◽  
1995 ◽  
Vol 15 (1) ◽  
pp. 37-43 ◽  
Author(s):  
GC Manzoni ◽  
F Granella ◽  
G Sandrini ◽  
A Cavallini ◽  
C Zanferrari ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Chronic Daily Headache ◽  
International Headache Society ◽  
Tension Type Headache ◽  
Clear Cut ◽  
Ihs Classification ◽  
Daily Headache ◽  
Type Headache ◽  
Headache Centres

We conducted a retrospective study of 150 patients with chronic daily headache (CDH) to determine how to categorize their headache according to the classification of the International Headache Society (IHS). All patients were first evaluated at Parma and Pavia Headache Centres (from January 1992 to March 1993) and had had headache for at least 15 days a month during the previous 6 months. Four patients were thereafter excluded due to poor reliability. The 146 patients who met our CDH criteria (92 with and 54 without clear-cut migraine attacks) could be classified into four groups: (i) chronic tension-type headache (CTTH)-27 patients; (ii) coexisting migraine plus CTTH-65 patients; (iii) unclassifiable daily headache-27 patients; and (iv) migraine and an unclassifiable interval headache-27 patients. Seventy-two percent of patients with CDH had migraine as the initial form of their headache. We therefore propose to revise the IHS classification for migraine, taking into account its evolution, and add two subcategories, migraine with interparoxysmal headache and chronic migraine.

Chronic Post-Traumatic Headaches Classified and Compared with Natural Headaches

Cephalalgia ◽  
1996 ◽  
Vol 16 (7) ◽  
pp. 486-493 ◽  
Author(s):  
DC Haas
Keyword(s):  
Migraine Without Aura ◽  
International Headache Society ◽  
Tension Type Headache ◽  
Control Group ◽  
Control Groups ◽  
Chronic Tension Type Headache ◽  
Naturally Occurring ◽  
Post Traumatic ◽  
Type Headache ◽  
And Control

This study sought to determine whether chronic post-traumatic headaches are different from or identical to the naturally occurring headaches. The chronic post-traumatic headaches of 48 patients were classified, as if they were natural headaches, by the diagnostic criteria of the International Headache Society. Thirty-six patients' headaches (75%) were chronic tension-type headache, 10 (21%) were migraine without aura, and 2 (4%) were unclassifiable. The characteristics and accompaniments of the headaches within each diagnostic group were then compared to those in a control group with natural headaches of the same type. No notable differences between the post-traumatic and control groups were found. Hence, chronic post-traumatic headaches have no special features, but are symptomatically identical to either chronic tension-type headache or migraine without aura (in this series of patients). This identity suggests that post-traumatic headaches are generated by the same processes causing the natural headaches, not by intracranial derangement from head blows or jolts.

Leukocyte Subsets and Cortisol Serum Levels in Patients With Migraine Without Aura and Chronic Tension-Type Headache

Cephalalgia ◽  
1994 ◽  
Vol 14 (2) ◽  
pp. 139-142 ◽  
Author(s):  
M Leone ◽  
M Biffi ◽  
F Leoni ◽  
G Bussone
Keyword(s):  
B Lymphocytes ◽  
Migraine Without Aura ◽  
Statistical Significance ◽  
Serum Cortisol ◽  
Serum Levels ◽  
Tension Type Headache ◽  
Immunoglobulin Production ◽  
Chronic Tension Type Headache ◽  
Type Headache ◽  
Headache Patients

Leukocyte subsets, serum cortisol and immunoglobulin production were investigated in a group of 12 migraine without aura patients, 12 chronic tension-type headache patients and compared with findings in 12 healthy controls. Chronic tension-type headache patients had statistically significant increased levels of B-lymphocytes (CD19 + cells) ( p < 0.05), while migraine sufferers had a similarly significant decrease in CD8 + T-lymphocytes ( p < 0.05). Migraine patients also had an increased percentage of B-lymphocytes although this failed to reach statistical significance. Immunoglobulin production and cortisol serum levels did not differ in the two headache groups. We conclude that the observed abnormalities in tension-type headache and migraine are unlikely to be a consequence of pain or of hypothalamic-pituitary-adrenal axis dysfunction.

Comparative Study with EMG, Pressure Algometry and Manual Palpation in Tension-Type Headache and Migraine

Cephalalgia ◽  
1994 ◽  
Vol 14 (6) ◽  
pp. 451-457 ◽  
Author(s):  
G Sandrini ◽  
F Antonaci ◽  
E Pucci ◽  
G Bono ◽  
G Nappi
Keyword(s):  
Mental Arithmetic ◽  
International Headache Society ◽  
Trapezius Muscle ◽  
Tension Headache ◽  
Tension Type Headache ◽  
Pressure Algometry ◽  
Manual Palpation ◽  
Type Headache ◽  
International Headache Society Classification ◽  
Headache Patients

According to International Headache Society classification criteria, the presence of pericranial muscle disorder in tension-type headache should be evaluated using one of the following methods: EMG, pressure algometry or manual palpation. The purpose of this study was to compare the results of these three methods in 15 patients with episodic tension-type headache, 29 with chronic tension-type headache and 22 presenting migraine without aura compared to those obtained in healthy individuals. Algometric and EMG recordings at the frontalis muscle during mental arithmetic were more impaired in episodic and chronic tension headache patients than in controls and migraine patients. Chronic tension headache patients were significantly impaired at the trapezius muscle in all three tests compared to controls. Our data indicate that when two or three tests were carried out the diagnostic capacity was significantly improved in comparison to only one test. Moreover, since a different pattern could be seen with pain and without pain, the existence of headache at the time of testing should be taken into consideration.

scholarly journals Differentiating occipital neuralgia from migraine and tension-type headache

2014 ◽  
Vol 22 (3) ◽  
pp. 425-431
Author(s):  
Omar Franklin Molina ◽  
Zeila Coelho Santos ◽  
Laura Martins ◽  
Bruno Ricardo Simião ◽  
Douglas Oliveira Andrade ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Migraine With Aura ◽  
Severe Pain ◽  
Migraine Without Aura ◽  
Tension Type Headache ◽  
Occipital Neuralgia ◽  
Occipital Nerve ◽  
Type Headache ◽  
Specific Symptoms

Objective. To establish differential diagnosis in patients presenting occipital neuralgia, tension-type headache, and migraine with aura. Method. We analyzed 32 patients with Occipital neuralgia (mean age=38.0; females=75%), 102 with tension-type headache (mean age=33.0; females=92.2%), and 16 with migraine without aura (mean age=37.0; females=56.3%). The specific symptoms of headaches were used in according to International Classification of Headache Dis­orders (ICHD) in patients with for craniomandibular disorders and bruxing behavior. Results. Occipital neuralgia group presented more nausea (78.1%; p=0.0001), vomiting (62.5%; p=0.0001), photopho­bia (71.8%; p=0.0001), throbbing (53.1%; p=0.0001), stabbing pain (78.1%; p=0.0001), severe pain (93.7%; p=0.0001), burning (68.8%; p=0.0001), and occipital nerve tenderness (100%; p=0.0001) than tension-type headache group. Occipital neuralgia group showed more stabbing (78.1%; p=0.0001), burning (68.8%; p=0.0005), and oc­cipital nerve tenderness (100%; p=0.0001) than migraine without aura group. Migraine without aura group showed more vomiting (94%; p=0.03) and photophobia (100%; p=0.02) than occipital neu­ralgia group. Conclusions. Nausea, vomiting, photophobia, throb­bing, stabbing, severer pain, a burning description and occipital nerve tenderness, better differentiated occipital neuralgia from tension-type headache. Stabbing pain, burning and occipital nerve tenderness, bet­ter differentiated occipital neuralgia from migraine without aura.

Assessment of International Headache Society Diagnostic Criteria: A Reliability Study

Cephalalgia ◽  
1994 ◽  
Vol 14 (4) ◽  
pp. 280-284 ◽  
Author(s):  
M Leone ◽  
G Filippini ◽  
D D'Amico ◽  
M Farinotti ◽  
G Bussone
Keyword(s):  
Diagnostic Criteria ◽  
Medical Records ◽  
Migraine Without Aura ◽  
International Headache Society ◽  
Tension Type Headache ◽  
Kappa Statistics ◽  
Reliability Study ◽  
Ihs Criteria ◽  
Craniofacial Pain ◽  
Type Headache

In 1988 the International Headache Society (IHS) introduced new diagnostic criteria for headaches and craniofacial pain. Since headaches can be diagnosed solely on the basis of information provided by the patient, it is essential that the criteria are reproducible and consistent. phenomena to a form designed to reflect the IHS criteria. Interobserver concordance (kappa statistics) in the application of the diagnostic hemicrania; kappa = 0.88 for migraine; kappa = 0.75 for tension-type headache; (ii) “almost perfect” to “substantial” for the second digit migraine without aura; kappa = 0.71 for chronic tension-type headache; kappa = 0.66 for cluster headache-like disorder not fulfilling the eria. These results show that the IHS diagnostic criteria are satisfactorily applicable to high quality medical records abstracted by experienced.

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