Migraine and Glaucoma: an Epidemiologic Survey of French Ophthalmologists

Cephalalgia ◽  
1998 ◽  
Vol 18 (2) ◽  
pp. 74-76 ◽  
Author(s):  
A Pradalier ◽  
P Hamard ◽  
E Sellem ◽  
L Bringer
Keyword(s):  
Potential Role ◽  
International Headache Society ◽  
Tension Type Headache ◽  
Epidemiologic Survey ◽  
Migraine Prevalence ◽  
Low Tension Glaucoma ◽  
Ihs Criteria ◽  
Type Headache ◽  
Low Tension

Glaucoma is a common ocular disorder; a high intraocular pressure is observed in the majority of glaucoma (HIOPG) cases, but some patients have low-tension glaucoma (LTG). In the literature, some works link LTG and migraine, which is speculative of a potential role of a vasospastic factor or diathesis common to migraine and LTG. Using a standardized questionnaire based on International Headache Society (IHS) criteria, we investigated 954 glaucoma patients; 320 (33.5%) described a headache (migraine or tension-type headache) and 240 (25.1%) presented the IHS criteria for migraine. Migraine prevalence was not significantly different between HIOPG and LTG patients (22.8% and 32%, respectively) in this study.

scholarly journals The ability of postgraduate students to diagnose and treat migraine and tension-type headache: A hospital-based survey.

2021 ◽  
Vol 28 (06) ◽  
pp. 907-913
Author(s):  
Awais Bashir Larik ◽  
Shaheen Ahmed Mughal ◽  
Muslim Ali Lakhiar
Keyword(s):  
Medical Students ◽  
International Headache Society ◽  
Cross Sectional Study ◽  
Tension Type Headache ◽  
Cross Sectional ◽  
Postgraduate Students ◽  
Ihs Criteria ◽  
Type Headache ◽  
Study Setting

Objective: The purpose of this study was to assess the ability of postgraduate medical students whether they can diagnose migraine and tension-type headache according to the International Headache Society criteria and whether they had an adequate clinical knowledge for the management of these headaches. Study Design: Cross Sectional Study. Setting: Departments of Neurology, PUMHS, Nawabshah and LUMHS, Jamshoro. Period: March and April 2018. Material & Methods: A questioner was designed outlining three options for the diagnosis of Migraine and Tension Type Headache (TTH) and the students were asked to pick the correct option which is based on the International Headache Society (IHS) criteria. In addition, a few more questions were incorporated relating to the management of these headaches, confidence in making the diagnosis, knowledge of most common type of headache, need for neuroimaging, presence of childhood migraine and the role of genes in causing migraine. Data was analyzed by using SPSS version 18. Results: A total of 73 postgraduate students responded to the questionnaire. Among them 21 were enrolled in MD and 52 were enrolled in FCPS training program. For migraine and TTH diagnostic criteria only 34% and 19% were able to pick the correct answers respectively. Although there answers were incorrect 65.8% students were confident about their diagnosis. Majority (58.9%) thought TTH as the most common headache and 11% thought migraine is the commonest. Most of the students 90.4% would go for neuroimaging in selected cases and the remaining 9.6%. Thought neuroimaging is indicated in every case of headache. In response to have you ever seen a child with migraine in 71% the response was NO. As far the question is there a role of genes in causing migraine 63% said YES while 37% thought there is NO role of genes in Migraine. Choice of drugs for acute and prophylactic treatment was also noted. Conclusion: The ability of postgraduate medical students to diagnose and treat migraine and tension-type headache was found to be less than satisfactory. There is a need for designing headache-specific CME programs for the postgraduate students so that their diagnostic and treatment abilities can be improved.

Headache Prevalence Among Adolescents — The German DMKG Headache Study

Cephalalgia ◽  
2007 ◽  
Vol 27 (4) ◽  
pp. 347-354 ◽  
Author(s):  
K Fendrich ◽  
M Vennemann ◽  
V Pfaffenrath ◽  
S Evers ◽  
A May ◽  
...  
Keyword(s):  
International Headache Society ◽  
Primary Headache ◽  
Population Based ◽  
Cross Sectional Study ◽  
Tension Type Headache ◽  
Cross Sectional ◽  
Primary Headache Disorders ◽  
Ihs Criteria ◽  
Probable Migraine ◽  
Type Headache

This population-based cross-sectional study examined the 3-month prevalence of headache, migraine and tension-type headache (TTH) among adolescents aged 12-15 years in Germany Students ( n = 3324) from 20 schools completed a questionnaire on general and headache-specific pain which included a sociodemographic module. The headache-specific questionnaire complied with the respective revised criteria of the International Headache Society (IHS). 'Modified criteria' changed the item 'duration' in migraine (>30 min instead of >4 h). The overall 3-month prevalence of headache was 69.4% (boys 59.5%, girls 78.9%), with 4.4% of the adolescents suffering from frequent (≥ 14 days/3 months) and severe (grade 8-10 on a 10-point visual analogue scale) headache and 1.4% (boys 0.9%, girls 1.9%) from headache ≥15 days/month. The 3-month prevalence of migraine was 2.6% (boys 1.6%, girls 3.5%) applying strict IHS criteria and 6.9% (boys 4.4%, girls 9.3%) with modified criteria; 12.6% (boys 8.3%, girls 16.7%) suffered from probable migraine, 0.07% fulfilled the criteria for chronic migraine, 4.5% (boys 4.6%, girls 4.3%) suffered from TTH, 0.2% from chronic TTH and 15.7% (boys 14.5%, girls 16.9%) from probable TTH. Headache and migraine were more common in girls than in boys and in teenagers, especially in girls, aiming at higher education. Recurrent headache and primary headache disorders are common complaints among German adolescents, especially among girls.

MMPI Personality Profiles in Patients With Primary Headache Syndromes

Cephalalgia ◽  
1991 ◽  
Vol 11 (6) ◽  
pp. 263-268 ◽  
Author(s):  
Volker Pfaffenrath ◽  
Josef Hummelsberger ◽  
Walter Pöllmann ◽  
Holger Kaube ◽  
Michael Rath
Keyword(s):  
Cluster Headache ◽  
Minnesota Multiphasic Personality Inventory ◽  
Normal Population ◽  
Primary Headache ◽  
Tension Type Headache ◽  
Personality Profiles ◽  
Mean Values ◽  
Ihs Criteria ◽  
Type Headache

The role of psychological factors in the course of primary headache syndromes is still controversial. Using the Minnesota Multiphasic Personality Inventory (MMPI) we investigated the personality profiles of 434 headache patients (160 migraineurs, 95 with tension type headache, 30 with cluster headache and 149 with combination headache) in accordance with the IHS criteria. In the first three MMPI scales (hypochondria, depression, hysteria) there was a slight increase in T mean values to over 60, but still in the range of two standard deviations of the normal population. There were no statistically significant differences between the four headache groups and between patients with and without analgesic abuse. It was impossible to distinguish headache groups on the basis of their personality profiles by means of reclassification with discriminant analysis. In a cluster analysis, patients with cluster headache showed the highest number (20%) of abnormalities, but also the highest percentage (13%) of completely normal results. Our findings- a cross section analysis of personality profiles-contradict many other MMPI-based studies.

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.

Diagnosis of Headache in Childhood and Adolescence: A Study in 437 Patients

Cephalalgia ◽  
1995 ◽  
Vol 15 (1) ◽  
pp. 13-21 ◽  
Author(s):  
C Wöber-Bingöl ◽  
C Wöber ◽  
A Karwautz ◽  
C Vesely ◽  
C Wagner-Ennsgraber ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Outpatient Clinic ◽  
International Headache Society ◽  
Tension Type Headache ◽  
Childhood And Adolescence ◽  
Highly Sensitive ◽  
Ihs Criteria ◽  
Type Headache ◽  
Structured Questionnaire

We investigated whether the criteria for idiopathic headache published by the International Headache Society (IHS) are useful in childhood and adolescence and compared the diagnoses according to this classification with those of Vahlquist. We used a semi-structured questionnaire to examine a total of 437 children and adolescents referred consecutively to a headache outpatient clinic. Twenty-eight of 437 patients were excluded because of symptomatic or unclassifiable headache. Of 409 patients with idiopathic headache, 70.4% had definite migraine or tension-type headache (IHS 1.1, 1.2, 2.1, 2.2), 20.5% had a migrainous disorder (IHS 1.7) and 9.1% had headache of the tension-type not fulfilling the criteria (IHS 2.3). In the differential diagnosis of migraine and tension-type headache the intensity of pain, aggravation of headache by physical activity, nausea and vomiting were the most important features. The quality of pain, photo- and phonophobia were less helpful and location least important. The duration of migraine attacks was less than 2 h in 19.0% of the migraine patients. In general, the diagnostic criteria of migraine were highly specific but less sensitive, and those of tension-type headache highly sensitive but less specific. The agreement between IHS criteria and those of Vahlquist was marked (kappa = 0.57). We conclude that the IHS criteria are useful for classifying headache in children and adolescents referred to a headache outpatient clinic. A forthcoming modification of the IHS criteria should consider a reduction of the minimum duration of migraine attacks from 2 h to I h and should try to increase the sensitivity of the criteria for migraine and the specificity of the criteria for tension-type headache.

Forward Head Posture and Neck Mobility in Chronic Tension-Type Headache

Cephalalgia ◽  
2006 ◽  
Vol 26 (3) ◽  
pp. 314-319 ◽  
Author(s):  
C Fernández-de-las-Peñas ◽  
C Alonso-Blanco ◽  
ML Cuadrado ◽  
JA Pareja
Keyword(s):  
Potential Role ◽  
Tension Type Headache ◽  
Forward Head Posture ◽  
Chronic Tension Type Headache ◽  
Head Posture ◽  
Group A ◽  
Type Headache ◽  
Craniovertebral Angle ◽  
Neck Mobility

Forward head posture (FHP) and neck mobility were objectively assessed in 25 patients with chronic tension-type headache (CTTH) and 25 healthy controls. Side-view pictures were taken in a sitting position to measure the craniovertebral angle. A cervical goniometer was employed to measure the range of all cervical motions. Patients with CTTH showed a smaller cranio-vertebral angle (45.3° ± 7.6°) than controls (54.1° ± 6.3°), thus presenting a greater FHP ( P < 0.001). Patients also had lesser neck mobility for all cervical movements, except for right lateral flexion ( P < 0.01). There was a positive correlation between the craniovertebral angle and neck mobility. Within the CTTH group, a negative correlation was found between the cranio-vertebral angle and headache frequency, but neck mobility did not correlate with headache parameters. Further research is needed to define a potential role of FHP and restricted neck mobility in the origin or maintenance of TTH.

Regional Variations in the Prevalence of Migraine and Tension-Type Headache Applying the new IHS Criteria: The German DMKG Headache Study

Cephalalgia ◽  
2009 ◽  
Vol 29 (1) ◽  
pp. 48-57 ◽  
Author(s):  
V Pfaffenrath ◽  
K Fendrich ◽  
M Vennemann ◽  
C Meisinger ◽  
K-H Ladwig ◽  
...  
Keyword(s):  
International Headache Society ◽  
Epidemiological Studies ◽  
Population Based ◽  
Tension Type Headache ◽  
Regional Variations ◽  
Face To Face ◽  
German Regions ◽  
Ihs Criteria ◽  
Probable Migraine ◽  
Type Headache

The prevalence of migraine and tension-type headache (TTH) varies considerably with respect to gender, age group and geographic regions. Methodological differences in the assessment and classification of cases are a major cause of this variability across studies, limiting the ability to perform true regional comparisons. We conducted three population-based studies in different German regions and assessed headache prevalence and headache characteristics in face-to-face interviews, applying standardized methods. We analysed the 6-month prevalence of migraine, TTH and their probable subtypes based on the new criteria of the International Headache Society (IHS). Among the 7417 participants in all three regions, the pooled 6-month prevalence of migraine, probable migraine, TTH and probable TTH was 6.75, 4.40, 19.86 and 11.61%, respectively. Despite the application of standardized classification methods, regional variations between 4.39 and 8.00% for migraine and 15.44 and 23.64% for TTH were observed, indicating differences in the local headache burden. Application of the new IHS criteria yielded headache categories that were not mutually exclusive, indicating a need for further discussion about the value of probable headache types in epidemiological studies.

Presentation of a New Instrument: The Diagnostic Headache Diary

Cephalalgia ◽  
1992 ◽  
Vol 12 (6) ◽  
pp. 369-374 ◽  
Author(s):  
Michael Bjørn Russell ◽  
Birthe Krogh Rasmussen ◽  
Jannick Brennum ◽  
Helle Klingenberg Iversen ◽  
Rigmor Agnethe Jensen ◽  
...  
Keyword(s):  
Diagnostic Criteria ◽  
Clinical Diagnosis ◽  
International Headache Society ◽  
Tension Type Headache ◽  
Clinical Interview ◽  
New Instrument ◽  
Precise Diagnosis ◽  
Headache Diary ◽  
Ihs Criteria ◽  
Type Headache

A new instrument, the Diagnostic Headache Diary, based on the operational diagnostic criteria of the International Headache Society (IHS), was tested in 61 migraine patients from a headache research clinic using the clinical diagnosis (IHS criteria) for comparison. All patients kept the diary for one to eight months. The clinical and diary diagnosis of migraine with and without aura was the same in, respectively, 72 and 87% of the patients. Nausea, photophobia and phonophobia tended to be more pronounced at the clinical interview. The diary identified 20 more cases of episodic tension-type headache and 15 fewer cases of chronic tension-type headache than the clinical interview. Two blinded observers always made the same IHS diagnoses when interpreting the diagnostic headache diary. A combination of a clinical interview and the diagnostic headache diary gives a qualitatively and quantitatively more precise diagnosis than a clinical interview alone.

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.

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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