Reassessment of Pediatric Tension-Type Headaches

2020 ◽  
Author(s):  
Michael Vaiman ◽  
Kadri Mametov ◽  
Yulia Roitblat ◽  
Michael Abba ◽  
Liliia Nehuliaieva ◽  
...  
Keyword(s):  
Dura Mater ◽  
Autoimmune Disorder ◽  
Diagnostic Procedures ◽  
Tension Type Headache ◽  
Initial Diagnosis ◽  
Laboratory Findings ◽  
Chronic Daily Headaches ◽  
Magnetic Resonance Imaging Mri ◽  
Type Headache ◽  
Tension Type Headaches

AbstractA retrospective multicenter chart review was conducted with the objective of evaluating the hypothesis that certain cases diagnosed as tension-type headache (TTH) in pediatric neurology are not stress-related or central sensitization-related conditions but may mimic an autoimmune disorder of the dura mater. Of the 29,642 patient charts reviewed, 12,424 charts (42%) were excluded because of incomplete data and 17,218 cases were analyzed. For all the 29,642 charts, TTH or chronic daily headaches were diagnosed in 29.2% of cases. Among the 17,218 cases subjected to detailed diagnostic procedures, TTH was diagnosed in only 5%. In 7,044 cases, the initial diagnosis of TTH was changed to headache attributed to infection (87.4%), which was supported by the presence of meningeal signs, high antistreptolysin-O titers, and, in 46% of cases, magnetic resonance imaging (MRI)-detected thickening of the cranial dura mater. The initial diagnosis of migraine was confirmed in 87.7% of cases (8,034/9,162). In some cases of treatment-resistant pediatric recurrent headaches, which are initially diagnosed as TTH, a secondary type of headache may be suspected as the underlying cause. Usually this type of headache has streptococcal infection-related laboratory findings, the meninges as the site of the lesion, and meningism as the clinical presentation.

Platelet Superoxide Dismutase in Migraine and Tension-Type Headache

Cephalalgia ◽  
1994 ◽  
Vol 14 (3) ◽  
pp. 215-218 ◽  
Author(s):  
T Shimomura ◽  
H Kowa ◽  
T Nakano ◽  
A Kitano ◽  
H Marukawa ◽  
...  
Keyword(s):  
Superoxide Dismutase ◽  
Radical Scavenging ◽  
Tension Type Headache ◽  
Enzyme Linked Immunosorbent Assay ◽  
Control Group ◽  
Sod Activity ◽  
Low Concentrations ◽  
Type Headache ◽  
Tension Type Headaches ◽  
Headache Patients

Superoxide dismutase (SOD) is a radical-scavenging enzyme. We determined Cu, Zn-SOD concentrations and activities in platelets from subjects with migraine and tension-type headaches. Thirty migraine without aura (MWoA) patients, 9 migraine with aura (MWA) patients, and 53 tension-type headache patients were selected for study. Thirty healthy volunteers composed the control group. Concentrations of platelet SOD were determined using enzyme-linked immunosorbent assay techniques. The activity of platelet SOD was determined by measuring reductivity of nitroblue tetrazolium. Low concentrations of platelet SOD were found in patients with MWA and MWoA. Platelet SOD activity decreased in MWA patients but not in patients with MWoA or tension-type headaches. These findings suggest vulnerability to oxidative stress in patients with migraine. It is suggested that low platelet SOD levels may play an important role in the etiology of migraine.

scholarly journals Prevalence of Tension Type Headache among Young Adults and Their Gender Difference on Percieved Stress Scale: A Comparative Study

2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Priyanka Yadav
Keyword(s):  
Perceived Stress ◽  
Tension Type Headache ◽  
Primary Headaches ◽  
Second Phase ◽  
Perceived Stress Scale ◽  
Chi Square ◽  
Stress Scale ◽  
Males And Females ◽  
Type Headache ◽  
Tension Type Headaches

Background: Tension-type headaches (TTH), together with migraines, are the most common primary headaches, affecting 80% of the general population. Stress is known to be a contributing factor to chronic tension-type headache (CTH), with research indicating that mental stress is the most commonly reported trigger and aggravating factor of a CTH episode. The study was conducted to find out the prevalence of TTH among youths of 18-25 age reporting frequent headache and to compare the perceived stress level among the diagnosed male and females of TTH. Methods: Perceived Stress Scale (PSS) rating and an IHS (International Headache Society) TTH Diagnostic questionnaire were used in this study. A sample of 150 students including 75 males and 75 females in the age group of 18-25 years complaining of frequent headache were taken from different colleges and universities located in Rewari district of Haryana. In the second phase, only the diagnosed cases of tension type headache participated in the study and fill the perceived stress scale questionnaire. After data collection, analysis of data using SPSS software was done which then further help in testing the hypothesis and extracting the result and inferences. Descriptive analysis of quantitative data expressed as mean and standard deviation. Mean and Chi square test were used for comparison of individual on quantitative parameters between groups. P value < 0.05 was considered statistically significant. Results: The mean age of subjects with TTH was 22.79 ±2.14. Prevalence of TTH among frequent headache sufferers is 68%. Out of 68% TTH cases 66.7% subjects have episodic TTH and 33.3% have chronic TTH. Value of PSS * Gender Pearson chi square is 5.151 at a significance value of .076 and it shows that there would be no significant differences exist between males and females on perceived stress score. Conclusion: TTH is more prevalent among females as compared to males. No significant differences exist between males and females on perceived stress scores.

scholarly journals Constipation is associated with tension type headache in women

2019 ◽  
Vol 77 (3) ◽  
pp. 161-165
Author(s):  
Zeynep Tugba Ozan ◽  
Nermin Tanik ◽  
Levent Ertugrul Inan
Keyword(s):  
Functional Gastrointestinal Disorders ◽  
Tension Type Headache ◽  
Study Results ◽  
Rome Iii ◽  
Underlying Mechanisms ◽  
Type Headache ◽  
Irritable Bowel ◽  
Tension Type Headaches ◽  
Relationship Of ◽  
The Relationship

ABSTRACT Tension-type headaches (TTH) and irritable bowel syndrome (IBS) are comorbid diseases affecting, especially, women. One of the underlying mechanisms for both is autonomic dysfunction in the brain-gut axis. We aimed to evaluate the factors accompanying TTH and their relation to functional gastrointestinal disorders. Methods: Women diagnosed with TTH were questioned about headache pattern and severity, and accompanying factors, as well as being screened for IBS according to the Rome III criteria. The participants were divided into two groups: constipation-dominant IBS (IBS-C) group and “others”, with a total of 115 individuals included in the study. Results: Of the 115 patients; 48 (41.8%) of the women had IBS-C criteria while 67 (58.2%) described mixed-type IBS or diarrhea-dominant IBS. There were no significant differences in terms of mean age (p = 0.290), body mass index (p = 0.212), visual analog scale (p = 0.965), duration of attacks (p = 0.692), and episodic/chronic type (p = 0.553). Osmophobia was seen in 43.5%; phonophobia in 68.7%, and photophobia in 47.0% of the patients, and only osmophobia was significantly associated in women in the IBS-C group (p = 0.001). Conclusion: In female patients with TTH, a higher level of constipation was detected. The relationship of these two diseases suggests that they may share common mechanisms. This is the first study showing the relationship of osmophobia with constipation.

Nociceptive Temporalis Inhibitory Reflexes Evoked by Co2-Laser Stimulation in Tension-Type Headache

Cephalalgia ◽  
2003 ◽  
Vol 23 (5) ◽  
pp. 361-366 ◽  
Author(s):  
M de Tommaso ◽  
M Guido ◽  
G Libro ◽  
L Losito ◽  
V Sciruicchio ◽  
...  
Keyword(s):  
Co2 Laser ◽  
Electrical Stimulus ◽  
Tension Type Headache ◽  
Nociceptive Response ◽  
Temporalis Muscle ◽  
Laser Stimulation ◽  
Type Headache ◽  
Tension Type Headaches ◽  
Electrical Stimuli ◽  
Second Period

The aim of the study was to evaluate the laser-induced suppression periods of the temporalis muscle in patients with tension-type headache, compared with the pattern of temporalis activity suppression induced by electrical stimulation. Fifteen patients with chronic and 10 with episodic tension-type headaches were selected. Suppression periods were recorded simultaneously from both temporalis muscles using both electrical stimuli and CO2-laser stimuli. A significant reduction in the later electrically induced suppression period was found in both tension-type headache groups. Laser stimulation induced a first suppression period (LSP1) with a latency of about 50 ms in all patients. The features of LSP1 were similar across groups. The LSP1 should correspond to the first suppression period induced by electrical stimulus, which is partly a nociceptive response, whereas the second period seemed negligibly linked with the activation of pain-related afferents, though probably their activation may contribute to increase the reflex duration and to emphasize abnormalities in tension-type headache.

scholarly journals Incidental Treatment of a Subclinical Chronic Tension-Type Headache by Cosmetic Use of Botulinum Toxin A: A Case Report

2017 ◽  
Vol 9 (3) ◽  
pp. 249-253
Author(s):  
Iselin Saltvig ◽  
Steen Henrik Matzen
Keyword(s):  
Botulinum Toxin ◽  
Chronic Headache ◽  
Botulinum Toxin A ◽  
Tension Type Headache ◽  
Toxin A ◽  
Beneficial Effects ◽  
Migraine Headaches ◽  
Type Headache ◽  
Tension Type Headaches

Background: Headache is a common disorder of the nervous system; chronic headache in particular may affect quality of life negatively. The pathophysiology is multifactorial and not completely elucidated. Studies have demonstrated the beneficial effects of botulinum toxin A on chronic migraine headaches, but failed to show the same effect on chronic tension-type headaches. Methods: We present the case of a 32-year-old woman who after receiving cosmetic injections with botulinum toxin A for fine lines of the forehead experienced relief of subclinical tension-type headaches. Conclusions: Although the effect of botulinum toxin A on chronic tension-type headaches is limited, several studies demonstrate its pain-modulating effects, and as such it is worth paying attention to this potential beneficial effect when performing cosmetic injections with botulinum toxin A.

EMG Analysis of the Late Exteroceptive Suppression Period of Temporal Muscle Activity in Episodic and Chronic Tension-Type Headaches

Cephalalgia ◽  
1991 ◽  
Vol 11 (2) ◽  
pp. 109-112 ◽  
Author(s):  
Thomas-Martin Wallasch ◽  
Martin Reinecke ◽  
Hans-Dieter Langohr
Keyword(s):  
Muscle Activity ◽  
Surface Emg ◽  
Tension Type Headache ◽  
Temporal Muscle ◽  
Chronic Tension Type Headache ◽  
Exteroceptive Suppression ◽  
Trigeminal Nerve Stimulation ◽  
Comparative Methodology ◽  
Type Headache ◽  
Tension Type Headaches

EMG analysis of the late exteroceptive suppression period of the temporal muscle activity is discussed as comparative methodology in the assessment of patients suffering from chronic tension-type headache and from migraineurs (1, 2). After electrical perioral trigeminal nerve stimulation during maximum voluntary jaw occlusion, early (ES1) and late (ES2) exteroceptive suppression periods can be registered above the temples using surface EMG recordings (3–6). In patients suffering from chronic tension-type headache the duration of the late suppression period is shortened ( p < 0.001) compared to migraineurs or controls. However, patients suffering from episodic tension-type headache display late suppression periods of temporal muscle activity of differing lengths.

New Daily Persistent Headache in the Paediatric Population

Cephalalgia ◽  
2009 ◽  
Vol 29 (1) ◽  
pp. 17-22 ◽  
Author(s):  
E Kung ◽  
SJ Tepper ◽  
AM Rapoport ◽  
FD Sheftell ◽  
ME Bigal
Keyword(s):  
Children And Adolescents ◽  
Clinical Features ◽  
Relevant Information ◽  
Paediatric Population ◽  
Tension Type Headache ◽  
Chronic Daily Headaches ◽  
Type Headache ◽  
Operational Criteria ◽  
Clinical Records ◽  
Persistent Headache

We conducted a clinic-based study focusing on the clinical features of new-onset chronic daily headaches (CDH) in children and adolescents. The clinical records and headache diaries of 306 children and adolescents were reviewed, to identify 187 with CDH. Relevant information was transferred to a standardized form that included operational criteria for the diagnoses of the headaches. Since we were interested in describing the clinical features of these headaches, we followed the criteria A and B of the 2nd edn of the International Classification of Headache Disorders (ICHD-2) and refer to them as new daily persistent headaches (NDPH) regardless of the presence of migraine features (therefore, this is a modified version of the ICHD-2 criteria). From the 56 adolescents with NDPH, most (91.8%) did not overuse medications. Nearly half (48.1%) reported they could recall the month when their headaches started. NDPH was more common than chronic tension-type headache in both adolescents overusing and not overusing medication. Individuals with NDPH had headaches fulfilling criteria for migraine on an average of 18.5 days per month. On most days, they had migraine-associated symptoms (one of nausea, photophobia or phonophobia)). NDPH is common in children and adolescents with CDH. Most subjects do not overuse medication. Migraine features are common.

scholarly journals Effectiveness of dry needling for improving pain and disability in adults with tension-type, cervicogenic, or migraine headaches: protocol for a systematic review

2019 ◽  
Vol 27 (1) ◽  
Author(s):  
Mohammadreza Pourahmadi ◽  
Mohammad Ali Mohseni-Bandpei ◽  
Abbasali Keshtkar ◽  
Bart W. Koes ◽  
César Fernández-de-Las-Peñas ◽  
...  
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Cervicogenic Headache ◽  
Tension Type Headache ◽  
Dry Needling ◽  
Statistical Heterogeneity ◽  
Patient Consent ◽  
Type Headache ◽  
Tension Type Headaches

Abstract Background Headache is the most common neurological symptoms worldwide, as over 90% of people have noted at least one headache during their lifetime. Tension-type headaches, cervicogenic headaches, and migraines are common types of headache which can have a significant impact on social, physical, and occupational functioning. Therapeutic management of headaches mainly includes physical therapy and pharmacological interventions. Dry needling is a relatively new therapeutic approach that uses a thin filiform needle without injectate to penetrate the skin and stimulate underlying tissues for the management of neuromusculoskeletal pain and movement impairments. The main objective of this systematic review and meta-analysis is to evaluate the effectiveness of dry needling in comparison to other interventions on pain and disability in patients with tension-type headache, cervicogenic headache, and migraine. Methods/design We will focus on clinical trials with concurrent control group(s) and comparative observational studies assessing the effect of dry needling in patients with tension-type headache, cervicogenic headache, and migraine. Electronic databases from relevant fields of research (PubMed/ Medline, Scopus, Embase®, PEDro, Web of Science, Ovid, AMED, CENTRAL, and Google Scholar) will be searched from inception to June 2019 using defined search terms. No restrictions for language of publication or geographic location will be applied. Moreover, grey literature, citation tracking, and reference lists scanning of the selected studies will be searched manually. Primary outcomes of this study are pain intensity and disability, and secondary outcomes are cervical spine ROM, frequency of headaches, health-related quality of life, and TrPs tenderness. Studies will be selected by three independent reviewers based on prespecified eligibility criteria. Three reviewers will independently extract data in each eligible study using a pre-piloted Microsoft Excel data extraction form. The assessment of risk of bias will be implemented using the Cochrane Back and Neck Review Group 13-item criteria and NOS. Direct meta-analysis will be performed using a fixed or random effects model to estimate effect size such as standardized mean difference (Morris’s dppc) and 95% confidence intervals. Statistical heterogeneity will also be evaluated using the I2 statistic and the χ2 test. All meta-analyses will be performed using Stata V.11 and V.14 softwares. The overall quality of the evidence for the primary outcomes will be assessed using GRADE. Discussion All analyses in this study will be based on the previous published papers. Therefore, ethical approval and patient consent are not required. The findings of this study will provide important information on the value of dry needling for the management of tension-type headache, cervicogenic headache, and migraine. Trial registration PROSPERO registration number: CRD42019124125.

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 ◽  
2004 ◽  
Vol 24 (5) ◽  
pp. 373-379 ◽  
Author(s):  
J-A Zwart ◽  
G Dyb ◽  
TL Holmen ◽  
LJ Stovner ◽  
T Sand
Keyword(s):  
Large Population ◽  
Primary Headache ◽  
Tension Type Headache ◽  
Health Study ◽  
Target Range ◽  
Headache Disorders ◽  
Total Study Population ◽  
Primary Headache Disorders ◽  
Type Headache ◽  
Tension Type Headaches

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.

scholarly journals Impact of Migraine and Tension-Type Headache on Life-Style, Consulting Behaviour, and Medication Use: A Canadian Population Survey

1993 ◽  
Vol 20 (2) ◽  
pp. 131-137 ◽  
Author(s):  
John Edmeads ◽  
Helen Findlay ◽  
Peter Tugwell ◽  
William Pryse-Phillips ◽  
R.F. Nelson ◽  
...  
Keyword(s):  
Interpersonal Relationships ◽  
Life Style ◽  
Treatment Options ◽  
Medication Use ◽  
Tension Type Headache ◽  
Medical Attention ◽  
Over The Counter ◽  
Canadian Population ◽  
Type Headache ◽  
Tension Type Headaches

ABSTRACT:A large sample of Canadian adults was surveyed by telephone to determine the prevalence and characterization of headache, and the effects of headache on life-style, consulting behaviours and medication use. We reported prevalence and characterization in a previous issue; here, we detail the effects of headaches on sufferers. Sixteen and one-half percent of adult Canadians experience migraine and 29% tension-type headaches. In over 70% of headache sufferers interpersonal relationships are impaired. Regular activities are limited in 78% of migraine attacks and 38% of tension-type headaches. Despite this, only 64% of migraine and 45% of tension-type headache sufferers had ever sought medical attention, and of these only 32% returned for ongoing care. Fourteen percent of migraine and 8% of tension-type headache sufferers had used emergency departments. Most headache sufferers take medication, primarily over-the-counter varieties. Measures to reach the headache population are needed, as are safe effective treatment options that will encourage them to participate in their medical care.

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