Primary Headache Disorders: Migraine, Tension-Type, and Chronic Daily Headaches

2021 ◽  
pp. 874-883
Author(s):  
Mark A. Whealy ◽  
F. Michael Cutrer

Primary headache disorders are those in which the headache is the primary feature of the disorder and is not otherwise explained by a structural, genetic, or metabolic cause. This chapter reviews the clinical features, diagnosis, and treatment of common primary headache disorders, including migraine, tension-type, and chronic daily headaches. Migraine usually starts during adolescence, and 90% of patients with migraine have their first attack by age 40 years. In childhood, there is a slight male predominance, but after puberty, a 3:1 female predominance is established. The highest reported prevalence of migraine is in patients who are 30 to 39 years old.

2018 ◽  
Vol 66 (12) ◽  
pp. 2408-2416 ◽  
Author(s):  
Thomas Berk ◽  
Sait Ashina ◽  
Vincent Martin ◽  
Lawrence Newman ◽  
Brinder Vij

2018 ◽  
Vol 19 (1) ◽  
Author(s):  
Jasem Y. Al-Hashel ◽  
Samar Farouk Ahmed ◽  
Fatemah J Alshawaf ◽  
Raed Alroughani

Cephalalgia ◽  
2012 ◽  
Vol 32 (7) ◽  
pp. 583-584 ◽  
Author(s):  
Geneviève Demarquay ◽  
Christelle Créac’h ◽  
Roland Peyron

Author(s):  
Christopher Mares ◽  
Jehane H. Dagher ◽  
Mona Harissi-Dagher

AbstractThe most common symptom of post-concussive syndrome (PCS) is post-traumatic headache (PTH) accompanied by photophobia. Post-traumatic headache is currently categorized as a secondary headache disorder with a clinical phenotype described by its main features and resembling one of the primary headache disorders: tension, migraine, migraine-like cluster. Although PTH is often treated with medication used for primary headache disorders, the underlying mechanism for PTH has yet to be elucidated. The goal of this narrative literature review is to determine the current level of knowledge of these PTHs and photophobia in mild traumatic brain injury (mTBI) in order to guide further research and attempt to discover the underlying mechanism to both symptoms. The ultimate purpose is to better understand the pathophysiology of these symptoms in order to provide better and more targeted care to afflicted patients. A review of the literature was conducted using the databases CINAHL, EMBASE, PubMed. All papers were screened for sections on pathophysiology of PTH or photophobia in mTBI patients. Our paper summarizes current hypotheses. Although the exact pathophysiology of PTH and photophobia in mTBI remains to be determined, we highlight several interesting findings and avenues for future research, including central and peripheral explanations for PTH, neuroinflammation, cortical spreading depolarization and the role of glutamate excitotoxicity. We discuss the possible neuroanatomical pathways for photophobia and hypothesize a possible common pathophysiological basis between PTH and photophobia.


Sign in / Sign up

Export Citation Format

Share Document