Headache attributed to intracranial tumours: A prospective cohort study

Cephalalgia ◽  
2009 ◽  
Vol 30 (4) ◽  
pp. 389-398 ◽  
Author(s):  
L Valentinis ◽  
F Tuniz ◽  
F Valent ◽  
M Mucchiut ◽  
D Little ◽  
...  
Keyword(s):  
Primary Headache ◽  
Multivariate Logistic Regression Model ◽  
Intracranial Tumour ◽  
Headache Disorders ◽  
Resonance Imaging ◽  
Imaging Studies ◽  
Multivariate Logistic Regression ◽  
Intracranial Tumours ◽  
Potential Risk Factors

Between January 2007 and March 2008, we prospectively studied all patients operated on for intracranial tumours in our Department of Neurosurgery. Preoperatively, all patients were interviewed by a neurologist to collect headache characteristics. Measurements of tumour and oedema volume were made using dedicated software for magnetic resonance imaging studies. Tumour histopathology was established by histological examination postoperatively. If headache improved postoperatively, a diagnosis of ‘headache attributed to intracranial neoplasm’ was made, according to the 2004 International Classification of Headache Disorders (ICHD-II). A multivariate logistic regression model was used to evaluate the association of headache with potential risk factors. We studied 206 subjects. The prevalence of tumour headache was 47.6%. Intracranial tumour headache was non-specific and in most cases could not be classified by current ICHD-II diagnostic criteria for primary headache syndromes. Its prevalence varied depending on volume, location and type of tumour, as well as on the patient's previous headache history.

scholarly journals Revised 2004 International Classification of Headache Disorders: New Headache Types

2004 ◽  
Vol 31 (3) ◽  
pp. 304-314 ◽  
Author(s):  
Jonathan P. Gladstone ◽  
David W. Dodick
Keyword(s):  
Treatment Guidelines ◽  
International Headache Society ◽  
Genetic Research ◽  
Primary Headache ◽  
Current Treatment ◽  
International Classification ◽  
Secondary Headache ◽  
Headache Disorders ◽  
Primary Headache Disorders

In 1988, the International Headache Society created a classification system that has become the standard for headache diagnosis and research. The International Classification of Headache Disorders galvanized the headache community and stimulated nosologic, epidemiologic, pathophysiologic, and genetic research. It also facilitated multinational clinical drug trials that have led to the basis of current treatment guidelines. While there have been criticisms, the classification received widespread support by headache societies around the globe. Fifteen years later, the International Headache Society released the revised and expanded International Classification of Headache Disorders second edition. The unprecedented and rapid advances in the field of headache led to the inclusion of many new primary and secondary headache disorders in the revised classification. Using illustrative cases, this review highlights 10 important new headache types that have been added to the second edition. It is important for neurologists to familiarize themselves with the diagnostic criteria for the frequently encountered primary headache disorders and to be able to access the classification (www.i-h-s.org) for the less commonly encountered or diagnostically challenging presentations of headache and facial pain.

scholarly journals Migraine without aura in academics of physical therapy course

2020 ◽  
pp. 1-4
Author(s):  
Élcio Alves Guimarães ◽  
Bárbara Martins Rodrigues ◽  
Kelly Duarte Lima Makhoul ◽  
Lucas Resende Sousa ◽  
Paulo Cézar Simamoto Junior ◽  
...  
Keyword(s):  
Academic Performance ◽  
Physical Therapy ◽  
Migraine With Aura ◽  
Migraine Without Aura ◽  
Primary Headache ◽  
Headache Disorders ◽  
Performance Objective ◽  
The Common ◽  
Physiotherapy Students

Introduction: Migraine is a primary headache that is usually severe. It is classified into five main categories, the two most important being migraine without aura and migraine with aura. The common, without aura, is characterized by periodic headaches that are usually pulsatile and unilateral, exacerbated by activities and associated with nausea, photophobia and phonophobia. In academics, headaches lead to loss of days of study and worse academic performance. Objective: The objective of this study was to evaluate the prevalence of migraine without aura in academics of the Physiotherapy course. Methodology: A total of 217 physiotherapy students over 18 years of age were evaluated, and the headache questionnaire was applied according to the International Classification of Headache Disorders, 3rd edition, 2014. Conclusion: It is concluded that there was prevalence of migraine without aura in academics of the Physiotherapy course.

About differential diagnosis of cephalalgia (literature review)

10.12737/7239 ◽  
2014 ◽  
Vol 8 (1) ◽  
pp. 0-0
Author(s):  
Сапожников ◽  
Vladimir Sapozhnikov ◽  
Ларикова ◽  
A. Larikova
Keyword(s):  
Differential Diagnosis ◽  
Literature Review ◽  
Tension Headache ◽  
Primary Headache ◽  
Headache Disorders ◽  
Diagnostic Problem ◽  
Trigger Factors ◽  
Primary Headache Disorders ◽  
Adolescent Period

Cephalalgia must be the leading or sometimes the single symptom of 50 different diseases. This paper is devoted to analysis the causes, the clinical features and methods of cephalalgia diagnosis in children, teenagers, as well as the modifiable and trigger factors. There is cephalalgia in 40-60% children and the prevalence of the disease increases with age, especially with the beginning of school, and reaches a peak with adolescent period 75%, this explains the importance of this work. In the last 30 years, scientists have registered the growth of the epidemiology incidence of primary headache disorders, including the chronic form of headaches: tension headache has grown in ten times, migraines – in 5-6 times. Due to the uncertainty of subjective sensations in infancy the revelation of cephalalgia becomes sometimes quite a complicated diagnostic problem. Many researchers mention the difficulty of differentiation of various cephalalgia types in infancy due to insufficient sensibility of diagnostic criteria, which were offered by the International Classification of Headache Disorders 2003. 20-35% of cases cann’t classified. In this article, the importance of headache studying is accentuated, that is necessary for life optimization of children suffering from headaches.

scholarly journals Are some ophthalmoplegias migrainous in origin?

2019 ◽  
Vol 9 (3) ◽  
pp. 256-262 ◽  
Author(s):  
Vivek Lal ◽  
Louis Caplan
Keyword(s):  
Cranial Nerves ◽  
Temporal Association ◽  
Headache Disorders ◽  
Resonance Imaging ◽  
Positive History ◽  
Migraine Headaches ◽  
Ophthalmoplegic Migraine ◽  
History Of ◽  
Recurrent Painful Ophthalmoplegic Neuropathy

The 3rd edition of the International Classification of Headache Disorders replaced the term ophthalmoplegic migraine (OM) with Recurrent Painful Ophthalmoplegic Neuropathy (RPON) based on the presence of contrast enhancement of the involved cranial nerves on Gadolinium-enhanced magnetic resonance imaging. We review our experience and publications concerning ophthalmoplegia, migraine, and RPON. Majority of cases of acute ophthalmoplegia are associated with severe migrainous headaches. A positive history of migraine, increased severity of migraine headaches before the onset of ophthalmoplegia, and the close temporal association between migraine attacks and ophthalmoplegia all suggest an important role played by migraine in the causation of ophthalmoplegia. Enhancement of the involved cranial nerves may be due to the neuro-inflammatory cascade associated with migraine. OM should be considered along with RPON in differential diagnoses of painful ophthalmoplegic syndromes.

scholarly journals Symptom-based clinical profiles in the classification of post-traumatic headache

Neurology ◽  
2018 ◽  
Vol 91 (23 Supplement 1) ◽  
pp. S28.2-S28
Author(s):  
Andrew H Ahn ◽  
Sylvia M Lucas
Keyword(s):  
Unmet Need ◽  
Clinical Manifestations ◽  
Primary Headache ◽  
Current Data ◽  
Headache Disorders ◽  
Primary Headache Disorders ◽  
Specific Outcome ◽  
Post Traumatic ◽  
Definition Of

There are currently no established therapies for post-traumatic headache (PTH). One key obstacle standing in the way of meeting this unmet need is the fundamental gap in our understanding of the clinical course and functional impact of PTH. In this presentation we examine the existing schema used to characterize the clinical characteristics of PTH, including the International Classification of Headache Disorders (ICHD), and find that they leave major unresolved questions about the diagnosis, classification, and measurement of the clinical impact of PTH. Specifically, current data suggest that the ICHD classification, which is based on the extent of brain injury and the duration of condition, have limited prognostic and treatment implications. There are several challenges to the classification of PTH, as the clinical manifestations of PTH do not map well to the primary headache disorders, and the definition of the continuous and chronic daily headache require further study. Importantly, the existing classification do not provide or imply specific outcome measures for PTH, again a fundamental roadblock to testing therapeutic hypotheses for PTH. We hypothesize that a symptom-based classification is needed to begin an examination of these unresolved questions, and to establish clinically relevant endpoints for research and clinical trials for effective therapies.

Headache in Acute Stroke. A Prospective Study in the First 8 Days

Cephalalgia ◽  
2008 ◽  
Vol 28 (4) ◽  
pp. 346-354 ◽  
Author(s):  
A Verdelho ◽  
JM Ferro ◽  
T Melo ◽  
P Canhão ◽  
F Falcão
Keyword(s):  
Prospective Study ◽  
Acute Stroke ◽  
Stroke Unit ◽  
International Headache Society ◽  
Primary Headache ◽  
Haemorrhagic Stroke ◽  
Headache Disorders ◽  
Ihs Criteria ◽  
A Prospective Study

We aimed to describe and classify headaches associated with acute stroke, by interviewing patients consecutively admitted to a stroke unit using a validated headache questionnaire and the International Classification of Headache Disorders of the International Headache Society (IHS). One hundred and twenty-four patients (61% ischaemic and 39% haemorrhagic stroke) reported headache. Headaches started mostly on the day of stroke, were more often continuous, pressure-type, bilateral and located in the anterior region, were increased by movement and by cough and lasted for a mean of 3.8 days. Tension-type was the most frequent type of headache. Eleven per cent of headaches could not be classified using the criteria of the IHS. Previous primary headache was documented in 71 patients. The presence of nausea/vomiting due to acute stroke can confound headache classification using the IHS criteria. In up to half of the patients, headache seems to be a reactivation of previous primary headache.

scholarly journals May headache triggered by odors be regarded as a differentiating factor between migraine and other primary headaches?

Cephalalgia ◽  
2016 ◽  
Vol 37 (1) ◽  
pp. 20-28 ◽  
Author(s):  
Raimundo Pereira Silva-Néto ◽  
Ânderson Batista Rodrigues ◽  
Dandara Coelho Cavalcante ◽  
Pedro Henrique Piauilino Benvindo Ferreira ◽  
Ema Pereira Nasi ◽  
...  
Keyword(s):  
Primary Headache ◽  
International Classification ◽  
The Other ◽  
Olfactory Stimulation ◽  
Primary Headaches ◽  
Headache Disorders ◽  
Beta Version

Objectives The objective of this article is to characterize olfactory stimulation as a trigger of headaches attacks and differentiation between migraine and other primary headaches. Participants and methods The study was prospective and experimental, with comparison of groups. A total of 158 volunteers (73 men and 85 women) were diagnosed with primary headaches, according to the criteria of the International Classification of Headache Disorders, Third Edition (beta version) (ICHD-3β). The study was conducted by two examiners; one of them was assigned to diagnose the presence and type of primary headache, while the other was responsible for exposing the volunteers to odor and recording the effects of this exposure. Results Of the 158 volunteers with headache, there were 72 (45.6%) cases of migraine and 86 (54.4%) with other primary headaches. In both groups, there were differences in headache characteristics (χ2 = 4.132; p = 0.046). Headache attacks (25/72; 34.7%) and nausea (5/72; 6.9%) were triggered by odor only in patients with migraine, corresponding to 19.0% (30/158) of the sample, but in none with other primary headaches (χ2 = 43.78; p < 0.001). Headache occurred more often associated with nausea ( p = 0.146) and bilateral location ( p = 0.002) in migraineurs who had headache triggered by odor. Headache was triggered after 118 ± 24.6 min and nausea after 72.8 ± 84.7 min of exposure to odor. Conclusions The odor triggered headache attacks or nausea only in migraineurs. Therefore, headache triggered by odors may be considered a factor of differentiation between migraine and other primary headaches and this trigger seems very specific of migraine.

Olfactory hallucinations in primary headache disorders: Case series and literature review

Cephalalgia ◽  
2011 ◽  
Vol 31 (14) ◽  
pp. 1477-1489 ◽  
Author(s):  
Elisheva R Coleman ◽  
Brian M Grosberg ◽  
Matthew S Robbins
Keyword(s):  
Case Series ◽  
Primary Headache ◽  
Prophylactic Therapy ◽  
Motor Symptoms ◽  
Migraine Aura ◽  
Headache Disorders ◽  
Primary Headache Disorders ◽  
Unpleasant Odor ◽  
Headache Center

Background: Olfactory hallucinations (phantosmias) have rarely been reported in migraine patients. Unlike visual, sensory, language, brainstem, and motor symptoms, they are not recognized as a form of aura by the International Classification of Headache Disorders. Methods: We examined the clinical features of 39 patients (14 new cases and 25 from the literature) with olfactory hallucinations in conjunction with their primary headache disorders. Results: In a 30-month period, the prevalence of phantosmias among all patients seen at our headache center was 0.66%. Phantosmias occurred most commonly in women with migraine, although they were also seen in several patients with other primary headache diagnoses. The typical hallucination lasted 5–60 minutes, occurred shortly before or simultaneous with the onset of head pain, and was of a highly specific and unpleasant odor, most commonly a burning smell. In the majority of patients, phantosmias diminished or disappeared with initiation of prophylactic therapy for headaches. Conclusions: We propose that olfactory hallucinations are probably an uncommon but distinctive form of migraine aura, based on their semiology, timing and response to headache prophylaxis.

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