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.

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.

Headache After Whiplash: A Historical Cohort Study Outside the Medico-Legal Context

Cephalalgia ◽  
1998 ◽  
Vol 18 (8) ◽  
pp. 559-564 ◽  
Author(s):  
D Obelieniene ◽  
G Bovim ◽  
H Schrader ◽  
D Surkiene ◽  
D Mickeviàiene ◽  
...  
Keyword(s):  
International Headache Society ◽  
Cervicogenic Headache ◽  
Tension Type Headache ◽  
Control Group ◽  
Historical Cohort ◽  
Legal Context ◽  
Headache Type ◽  
The Difference ◽  
Type Headache ◽  
And Control

Headache is frequently reported as a chronic complaint after whiplash traumas. Criteria have been presented, but it has not been validated whether any specific headache type emerges after a trauma with whiplash mechanism. In a questionnaire-based historical cohort design, 202 adult Lithuanian individuals were interviewed 1–3 years after experiencing a rear-end car collision. The questionnaire was designed so that a diagnosis of migraine and tension-type headache in accordance with the International Headache Society criteria could be made. “Possible cervicogenic headache” was diagnosed according to Sjaastad et al.'s minimal criteria. The diagnostic panorama in those with traumas was compared with that of an age- and sex-matched control group. The introductory questions did not reveal differences in headache frequencies between the traumatized and control groups ( p=0.60). The prevalence of migraine and tension-type headache (both episodic and chronic) was also similar. A higher frequency of possible cervicogenic headache was observed in the traumatized group (10 vs 5), but the difference was not statistically significant ( p=0.28). Sixteen patients in the accident group had headache > 15 days per month, 11 of the 16 had similar complaints before the trauma, while 5 had worsened headache as compared to (the recollected headache) before the trauma. None of the patients with possible cervicogenic headache reported increased headache after the accident. Accordingly, the present results obtained outside the medico-legal context do not confirm that a specific headache pattern emerges 1–3 years after a rear-end car collision.

Paranasal Sinus Disease in Children With Headache

2017 ◽  
Vol 32 (12) ◽  
pp. 1014-1017 ◽  
Author(s):  
Ronan J. Vieira Neto ◽  
Karine C. S. Teixeira ◽  
Marilisa M. Guerreiro ◽  
Maria Augusta Montenegro
Keyword(s):  
Disease Control ◽  
Migraine Without Aura ◽  
International Headache Society ◽  
Primary Headache ◽  
Tension Type Headache ◽  
Common Finding ◽  
Control Group ◽  
Fisher Exact Test ◽  
Sinus Disease ◽  
Type Headache

Background: Sinus headache is one of the most frequent misdiagnosis given to children with headache. The objective of this study is to evaluate the frequency of sinus disease in children with headache that do not fulfill the criteria for headache attributed to disorder of the nose or paranasal sinuses. Methods: This is a prospective study conducted at the authors’ pediatric neurology clinic. Data from children with headache was evaluated and compared with a disease control group composed of children without history of headache. All patients underwent neuroimaging assessment. Patients with diagnosis of acute infectious sinus disease were excluded from the analysis. The type of headache was classified according to the International Headache Society. Statistical analysis was performed using the Fisher exact test, with a level of significance of .05. Results: A total of 62 patients with headache were evaluated; 24 boys, 38 girls, ages ranging from 3 to 18 years (mean = 9.7 years). Of the patients, 29 had migraine without aura, 4 had frequent episodic tension type headache, 3 had both migraine without aura and frequent episodic tension type headache, 3 had migraine with brainstem aura, 2 had episodic tension type headache, 1 had migraine with aura. In 20 patients the type of headache could not be established. The disease control group had 41 patients; 25 boys, 16 girls, ages ranging from 3 to 17 years (mean = 7.3 years). Sinus abnormalities detected by neuroimaging were present in 12 patients in the headache group and in 11 patients in the disease control group ( P = .469). Conclusion: The authors conclude that sinus abnormalities are a common finding in neuroimaging tests of children with or without headache. Sinus disease disclosed by neuroimaging evaluation should not preclude the diagnosis of migraine or other types of primary headache.

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.

scholarly journals Brief Mindfulness-Based Therapy for Chronic Tension-Type Headache: A Randomized Controlled Pilot Study

2013 ◽  
Vol 42 (1) ◽  
pp. 1-15 ◽  
Author(s):  
Stuart Cathcart ◽  
Nicola Galatis ◽  
Maarten Immink ◽  
Michael Proeve ◽  
John Petkov
Keyword(s):  
Chronic Pain ◽  
Pilot Study ◽  
Stress Reduction ◽  
Controlled Trial ◽  
Tension Type Headache ◽  
Control Group ◽  
Chronic Tension Type Headache ◽  
Randomized Controlled ◽  
Type Headache ◽  
Pain Symptoms

Background: Mindfulness-based therapy (MBT) has been demonstrated to be effective for reducing chronic pain symptoms; however, the use of MBT for Chronic Tension-Type Headache (CTH) exclusively has to date not been examined. Typically, MBT for chronic pain has involved an 8-week program based on Mindfulness Based Stress Reduction. Recent research suggests briefer mindfulness-based treatments may be effective for chronic pain. Aims: To conduct a pilot study into the efficacy of brief MBT for CTH. Method: We conducted a randomized controlled trial of a brief (6-session, 3-week) MBT for CTH. Results: Results indicated a significant decrease in headache frequency and an increase in the mindfulness facet of Observe in the treatment but not wait-list control group. Conclusion: Brief MBT may be an effective intervention for CTH.

scholarly journals Effects of Muscle Energy Technique in Patients with Tension Type Headache; A Randomized Control Clnicial Trial

2021 ◽  
Author(s):  
Rabia Sohail ◽  
Huma Riaz ◽  
Muhammad Akhtar ◽  
Asim Raza ◽  
Kinza Shabbir ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Range Of Motion ◽  
Tension Type Headache ◽  
Control Group ◽  
Muscle Energy Technique ◽  
Randomized Control ◽  
Muscle Energy ◽  
Type Headache ◽  
And Control ◽  
Experimental Group

Abstract Background: Tension type headache is claimed to be one of top ten disabling conditions in the world. The purpose of the study was to determine the effects of muscle energy technique on pain, range of motion at cervical spine and disability related to tension type headache. Methods: A randomized control trial was conducted on 48 participants of both genders whose age was 18 to 40 years with complain of tension type at Rehabilitation and Injury Management Department of Medcare International Hospital Gujranwala, from July to December 2019. Participants were randomly selected and allocated into two groups (experimental and control group). The experimental group received both muscle energy technique and myofascial release technique on trapezius and sternocleidomastoid of both sides. The intervention was applied for 6 weeks (3 sessions per week). Assessments were done at baseline, 4th week and 6th week. Numeric pain rating scale (NPRS), Headache disability inventory (HDI), headache impact test (HIT) and cervical range of motion with the help of Inclinometer were tools for assessment. Data analysis was done using SPSS (version 21). Results: The mean age of experimental group was 26.5±5.42 and control group was 27.7±5.70. The experimental group was shown significant improvement in terms of pain and flexion and side flexion range of motion with p-value ≤0.05. Conclusion: It is concluded that muscle energy technique is effective treatment for tension type headache; it is associated to decreased range of motion at cervical spine and disability related to TTH. Trial registration: IRCT20190121042445N2, Registered 07-02-2021.

Cluster of MMPI Personality Profiles in Chronic Tension-Type Headache and Predictable Response to Fluoxetine

Cephalalgia ◽  
2000 ◽  
Vol 20 (1) ◽  
pp. 51-56 ◽  
Author(s):  
J Aguirre ◽  
R Gallardo ◽  
Juan A Pareja ◽  
M Pérez-Miranda
Keyword(s):  
Minnesota Multiphasic Personality Inventory ◽  
Tension Type Headache ◽  
Control Group ◽  
Personality Profiles ◽  
Chronic Tension Type Headache ◽  
Fluoxetine Treatment ◽  
Chi Squared ◽  
Type Headache ◽  
Cluster 2

A study was made of the personality profiles of a sample of 51 patients with chronic tension-type headache (CTH) employing the Minnesota Multiphasic Personality Inventory (MMPI). Two clusters were obtained by applying multivariate classification techniques: cluster 1 (with elevations on scales Hy, D and Hs only) and cluster 2 (exhibiting elevations on most scales except Pd, Mf and Si). Fifty subjects without chronic pain or known psychiatric disorders, and extracted from the same social setting as the patients, completed the MMPI as a control group. Fluoxetine treatment was started in the CTH group, with follow-up over a 1-year period. Chi-squared analysis correlating the clusters obtained to different pain-related variables and epidemiological parameters revealed a significant association to sex only. There were no differences in therapeutic response between the two clusters. However, the patients belonging to the less perturbed cluster who exhibited profiles analogous to those of the control population showed significant improvement with respect to the global sample and their own cluster.

Exteroceptive Suppression of the Masseter, Temporalis and Trapezius Muscles Produced by Mental Nerve Stimulation in Patients with Chronic Headaches

Cephalalgia ◽  
1991 ◽  
Vol 11 (1) ◽  
pp. 23-28 ◽  
Author(s):  
Kenji Nakashima ◽  
Kazuro Takahashi
Keyword(s):  
Nerve Stimulation ◽  
Migraine Without Aura ◽  
Normal Subjects ◽  
Tension Type Headache ◽  
Mental Nerve ◽  
Chronic Tension Type Headache ◽  
Exteroceptive Suppression ◽  
Low Degree ◽  
Chronic Headaches ◽  
Type Headache

Exteroceptive suppression of the masseter, temporalis and trapezius muscles, produced by mental nerve stimulation, was studied in 46 patients with chronic headaches. The background contracting electromyographic activity prior to stimulation showed no difference between normal subjects and patients with any type of headache. In patients with chronic tension-type headache associated with a disorder of the pericranial muscles, the duration and degree of exteroceptive suppression were lower when compared with normal subjects. A low degree of exteroceptive suppression was observed also in patients suffering from migraine without aura, although exteroceptive suppression in patients suffering from migraine with aura and cluster headache was the same as that in normal subjects. A low degree of exteroceptive suppression may play a role not only in chronic tension-type headache associated with a disorder of the pericranial muscles, but also in migraine without aura.

scholarly journals Use of MPV and MPV/Plt Ratio in the Differentiation of Migraine and Tension-Type Headache

2018 ◽  
Vol 49 (1) ◽  
pp. 15-19
Author(s):  
Ersin Kasim Ulusoy
Keyword(s):  
Large Scale ◽  
International Headache Society ◽  
Primary Headache ◽  
Tension Type Headache ◽  
Healthy Control Group ◽  
Control Group ◽  
Neurology Clinic ◽  
Healthy Control ◽  
And Gender ◽  
Type Headache

AbstractPurposeMean platelet volume (MPV) is an indicator of platelet (Plt) function and activation. The purpose of this study is to demonstrate whether MPV and MPV/Plt ratio, indicators of Plt activation, are increased in migraine patients, compared to tension-type headache (TTH) and healthy control groups, in our large-scale study, and whether these two primary headache types with unknown pathophysiology may be differentiated by using MPV and MPV/Plt ratio.Materials and methodsEighty patients diagnosed with migraine as per the 2004 diagnosis criteria of the International Headache Society (IHS), 80 patients with TTH who have applied to the Neurology Clinic of our hospital, and 80 healthy subjects who have applied to the Family Practice Clinic and Blood Bank were enrolled in this study. MPV and MPV/Plt ratio in both patients of similar age and gender who were diagnosed with migraine as well as in the TTH group and healthy control group were compared.FindingsThe MPV/Plt ratio was 0.046±0.008 in migraine patients, 0.037±0.009 in patients with TTH, and 0.036±0.009 in the healthy control group. This difference was statistically significant (p<0.05). The cutoff value of MPV/Plt ratio for differentiating migraine and TTH was 0.037. The sensitivity of this value was 92.5%, while specificity was 55%.Conclusion We have demonstrated that the most commonly confused primary headache types may be differentiated by using MPV and MPV/Plt ratio, and therefore, the disability caused by migraine and unsuitable, unnecessary, and long-term drug therapies may be avoided in patients.

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.

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