Rigorously defined hemicrania continua presenting bilaterally

Cephalalgia ◽  
2011 ◽  
Vol 31 (14) ◽  
pp. 1490-1492 ◽  
Author(s):  
Andrew M Southerland ◽  
Ivan S Login
Keyword(s):  
Phenotypic Variability ◽  
Case Series ◽  
Primary Headache ◽  
Tension Type Headache ◽  
Hemicrania Continua ◽  
Primary Headaches ◽  
Therapeutic Trial ◽  
Primary Headache Disorders ◽  
Low Incidence ◽  
Type Headache

Background: Hemicrania continua (HC) is a headache syndrome characterized by continuous, unilateral head pain, autonomic features, and a complete therapeutic response to indomethacin. Although HC is classified as a unique entity among primary headache disorders, it clearly shares features with other primary headaches, including trigeminal autonomic cephalalgias, and chronic daily headaches, such as chronic migraine and chronic tension-type headache. In addition, the diagnosis is often delayed secondary to a relatively low incidence and the occurrence of some phenotypic variability as found in previous case series. Case: A 62-year-old woman presented with 5 months of unremitting, bilateral headache with significant autonomic symptoms during exacerbations of pain. Neurological examination and imaging studies were normal. After failure to respond to numerous previous therapeutic medicines and interventions, she experienced complete resolution following administration of indomethacin and eventual remission on sustained treatment. Conclusion: This case demonstrates that hemicrania continua with requisite autonomic features can occur in a purely bilateral form. Although the definitive aspects of HC continue to evolve, a bilateral headache meeting the current criteria warrants a therapeutic trial of indomethacin.

scholarly journals Primary Headache in Yemen: Prevalence and Common Medications Used

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Salah A. Abdo ◽  
Mohammed Amood AL-Kamarany ◽  
Karem H. Alzoubi ◽  
Mohamed T. Al-Maktari ◽  
Abdulrhman H. Al-Baidani
Keyword(s):  
Diclofenac Sodium ◽  
Case Series ◽  
Primary Headache ◽  
Tension Type Headache ◽  
Primary Headaches ◽  
Simple Explanation ◽  
Cross Sectional ◽  
High Prevalence ◽  
Type Headache ◽  
The Relationship

Background and Objective. Primary headaches is a major medical concern in certain Arabic countries, for example Oman, Jordan, and Qatar. This study was aimed at increasing understanding of the prevalence of headache in Arabic countries and identifying common medications used for treatment because of the lack of research done in this field in Yemen.Methods. This is a cross-sectional observational study conducted by recruiting case-series of adults and elderly who have primary headache within the age group from 18 to 85 years. 12640 subjects received a simple explanation for the aim of the study as ethical issue. The subjects were allowed to complete a self-conducted screening questionnaire. The data were diagnosed according to the International Headache Society’s diagnostic criteria (2004).Results. The results showed that 76.5% of the primary headache is prevalent at least once per year, 27.1% of the tension type headache (TTH) was the maximum percentage of type of headache, and 14.48% of the migraine headache (MH) was the minimum percentage. On the other hand, the relationship between the primary headache and age of subjects was statistically significant (P<0.05), while between primary headache and sex was not (P>0.05). In addition, 70.15% of the subjects said that headache attacks affected their activity of daily livings (ADL). 62.26% of the subjects used the medications without medical advice regarding their headache. 37.73% of the subjects relied on medical professionals (physicians and pharmacist) regarding analgesics use. The most common agent used among the medications was paracetamol (38.4%). Others included ibuprofen, aspirin, diclofenac sodium, naproxen, mefenamic acid, ergotamine and (11.45%) were unknown agents.Conclusion. We concluded that absence of health attention from the Yemeni Community and education from the health system in the country regarding analgesics use and their potential risk led to abuse of such medications and could be a reason beyond high prevalence of headache in Yemen.

Diagnosis and Clinical Management of Headaches

CNS Spectrums ◽  
1999 ◽  
Vol 4 (9) ◽  
pp. 32-37
Author(s):  
Daniel P. Greenfield ◽  
Subramanian Hariharan
Keyword(s):  
Clinical Management ◽  
International Headache Society ◽  
Brain Lesion ◽  
Pain Syndrome ◽  
Primary Headache ◽  
Tension Type Headache ◽  
Primary Headaches ◽  
Primary Headache Disorders ◽  
Primary Disorder ◽  
Type Headache

AbstractIn this article, we will first present an overview of the epidemiology and classification of headaches, distinguishing between primary headaches (in which the headache itself is the primary disorder) and secondary headaches (ie, headaches due to an underlying condition, such as a neoplastic and/or space-occupying lesion, a cerebrovascular accident, or other type of structural brain lesion). We will use the current classification system of the International Headache Society, focusing on primary headache disorders (migraine, tension-type headache, cluster headache), which we will discuss from the practical clinical perspectives of diagnosis and clinical management. Throughout this article, we will emphasize the chronicity and periodicity of headaches as a type of chronic pain syndrome.

scholarly journals Primary Headache Disorders at a Tertiary Health Facility in Lagos, Nigeria: Prevalence and Consultation Patterns

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Olajumoke Oshinaike ◽  
Oluwadamilola Ojo ◽  
Njideka Okubadejo ◽  
Olaitan Ojelabi ◽  
Akinola Dada
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Health Facility ◽  
Primary Headache ◽  
Tension Type Headache ◽  
University Teaching ◽  
Care Utilization ◽  
Primary Headaches ◽  
Primary Headache Disorders ◽  
Type Headache

Background. Primary headaches are underdiagnosed and undertreated, with a significant impact on social activities and work.Aim.To determine the last-year prevalence and health care utilization pattern of primary headaches at a tertiary centre.Methods.A cross-sectional study was carried out amongst staff of the Lagos State University Teaching Hospital in Lagos, Nigeria. 402 staff members were selected by simple random sampling and administered a detailed structured headache assessment questionnaire. Migraine and tension-type headache were diagnosed according to the criteria of the International Headache Society (2004).Results.The participants comprised 168 males and 234 females. The mean age was36.9±7.9years. The overall headache prevalence was 39.3% with female predominance (P<0.0001). Tension-type headache was the most prevalent at 72.8% and migraine at 18.9%. Unclassifiable headache constituted 8.2%. Migraine headache showed female preponderance (P=0.000). 80.4% of participants did not seek medical consultation compared with 19.6% who did (P=0.000). Of the latter, 83.9% consulted the general practitioner (GP), whilst 16.1% consulted the neurologist.Conclusions.Primary headache prevalence is high in our population. It is not recognised as that requiring care by most of the staff of this tertiary health facility; thus education is required to increase health care utilization.

Headache and Chiari malformation

2020 ◽  
pp. 442-446
Author(s):  
Dagny Holle ◽  
Julio Pascual
Keyword(s):  
Chiari Malformation ◽  
Medical Condition ◽  
Case Reports ◽  
Case Series ◽  
Physical Exertion ◽  
Primary Headache ◽  
Foramen Magnum ◽  
Tension Type Headache ◽  
Primary Headache Disorders ◽  
Type Headache

Chiari malformation is a rare medical condition that is characterized by downward displacement of the cerebellar tonsils through the foramen magnum. The clinical presentation of Chiari malformation is diverse, but headache is the most often reported symptom. The typical Chiari malformation headache is localized in the occipital part of the head and aggravated by coughing, other Valsalva manoeuvres, or physical exertion. The prevalence of other episodic primary headache disorders such as tension-type headache and migraine is not increased in patients with Chiari malformation. The underlying pathophysiology of headache in Chiari malformation is still enigmatic, but alteration of intrathecal pressure was suggested to be involved. Controlled treatment trials for CM-related headaches are not available and treatment recommendations are mainly based on case reports, small case series and clinical experience. Therefore, no firm recommendation regarding surgical treatment can be made.

The first prevalence study of primary headaches in adults in a post-conflict area of Serbia

Cephalalgia ◽  
2021 ◽  
pp. 033310242110060
Author(s):  
Nenad Milošević ◽  
Jasna Zidverc Trajković ◽  
Milija Mijajlović ◽  
Jovana Milošević ◽  
Ana Podgorac ◽  
...  
Keyword(s):  
Medication Overuse Headache ◽  
Primary Headache ◽  
Tension Type Headache ◽  
Primary Headaches ◽  
Headache Disorders ◽  
Cross Sectional ◽  
Primary Headache Disorders ◽  
Conflict Area ◽  
Post Conflict ◽  
Type Headache

Aim The aim of the present study was to establish annual prevalence of primary headaches, migraine, and tension-type headache among adults in a post-conflict area of Serbia. Methods The data for this cross-sectional study was obtained via face-to-face interviews using questionnaires specifically designed for this purpose, in line with the available guidelines. The study sample included adults aged 18–65 years whose native language is Serbian with residence in six predominantly Serbian communities in Kosovo and Metohija. Relevant diagnoses were established according to the diagnostic criteria of the International Classification of Headache Disorders, 3rd edition. Results The study included 1062 adults. Analyses indicated 47.7% prevalence of primary headaches. The 1-year prevalence of migraine (with aura and without aura) and tension-type headache was established at 15.2% (3.3% and 11.9%), and 32.2%, respectively. One-year prevalence of chronic headache was calculated at 3.5%, while the prevalence of medication overuse headache was slightly lower at 2.9%. Primary headaches were more prevalent among women, participants residing south of the river Ibar, married or cohabiting individuals, as well as among interviewees (persons) who reported feeling unsafe in Kosovo and Metohija. This is the first study of the prevalence of primary headache disorders in Serbia. The obtained data is comparable to the data available for other countries, especially those in the Balkan region.

scholarly journals Alcohol-induced headaches: Evidence for a central mechanism?

2016 ◽  
Vol 07 (02) ◽  
pp. 269-275 ◽  
Author(s):  
Alessandro Panconesi
Keyword(s):  
International Headache Society ◽  
Primary Headache ◽  
Familial Hemiplegic Migraine ◽  
Tension Type Headache ◽  
Hemicrania Continua ◽  
Paroxysmal Hemicrania ◽  
Primary Headaches ◽  
Study Approach ◽  
Type Headache ◽  
International Headache Society Classification

ABSTRACTAlcoholic drinks (ADs) have been reported as a migraine trigger in about one-third of the migraine patients in retrospective studies. Some studies found that ADs trigger also other primary headaches. The studies concerning the role of ADs in triggering various types of primary headaches published after the International Headache Society classification criteria of 1988 were reviewed, and the pathophysiological mechanisms were discussed. Many studies show that ADs are a trigger of migraine without aura (MO), migraine with aura (MA), cluster headache (CH), and tension-type headache (TH). While data on MO and CH are well delineated, those in MA and TH are discordant. There are sparse reports that ADs are also triggers of less frequent types of primary headache such as familial hemiplegic migraine, hemicrania continua, and paroxysmal hemicrania. However, in some countries, the occurrence of alcohol as headache trigger is negligible, perhaps determined by alcohol habits. The frequency estimates vary widely based on the study approach and population. In fact, prospective studies report a limited importance of ADs as migraine trigger. If ADs are capable of triggering practically all primary headaches, they should act at a common pathogenetic level. The mechanisms of alcohol-provoking headache were discussed in relationship to the principal pathogenetic theories of primary headaches. The conclusion was that vasodilatation is hardly compatible with ADs trigger activity of all primary headaches and a common pathogenetic mechanism at cortical, or more likely at subcortical/brainstem, level is more plausible.

Remote causes of ocular pain

2020 ◽  
pp. 392-398
Author(s):  
Deborah I. Friedman
Keyword(s):  
Primary Headache ◽  
Tension Type Headache ◽  
Upper Cervical Spine ◽  
Primary Headaches ◽  
Headache Disorders ◽  
Ocular Pain ◽  
Primary Headache Disorders ◽  
Upper Cervical ◽  
Cranial Neuralgias ◽  
Type Headache

Ocular and periocular pain may occur with processes occurring remotely from the eye, including primary headache disorders, pain originating in branches of the trigeminal nerve, and, occasionally, disorders of the upper cervical spine. The primary headaches producing periocular pain include migraine, tension-type headache, cluster headache and other trigeminal autonomic cephalgias, paroxysmal hemicrania, and other miscellaneous headaches not associated with a structural lesion. This chapter focuses on unusual primary headache disorders that manifest as eye pain, as well as secondary causes of ocular pain, including ophthalmic and orbital conditions, inflammatory and infectious processes, cranial neuralgias, and vascular disorders

The prevalence of primary headache disorders in the adult population of Estonia

Cephalalgia ◽  
2019 ◽  
Vol 39 (7) ◽  
pp. 883-891 ◽  
Author(s):  
Kati Toom ◽  
Aire Raidvee ◽  
Katri-Helena Allas ◽  
Elina Floria ◽  
Kristiina Juhkami ◽  
...  
Keyword(s):  
Adult Population ◽  
Primary Headache ◽  
Population Based ◽  
Tension Type Headache ◽  
Primary Headaches ◽  
Headache Disorders ◽  
Primary Headache Disorders ◽  
Validated Questionnaire ◽  
Type Headache ◽  
One Year

Objective To estimate the one-year prevalence of primary headaches, most importantly migraine and tension type headache, but also other primary headaches, in Estonia. Methods A population-based random sample of 2162 subjects in Tartu City and Tartu County were interviewed by telephone or face to face using a previously validated questionnaire. Results Of the 2162 contacted participants, 1215 (56%) fully completed the study. Of these, 502 (41.3%) reported headache during the previous year. The prevalences adjusted by weighting by age, gender, education, marital status and habitat were the following: All headaches 41.0%, all migraine 17.7%, all tension-type headache 18.0%, trigeminal autonomic cephalalgias 0.4%, other primary headaches 2.5%, and chronic headaches 2.7%. Conclusion The 1-year prevalences of primary headache disorders in Estonia are comparable to the previous findings in other European countries.

Diet and nutraceutical interventions for headache management: A review of the evidence

Cephalalgia ◽  
2016 ◽  
Vol 36 (12) ◽  
pp. 1112-1133 ◽  
Author(s):  
Serena L Orr
Keyword(s):  
Primary Headache ◽  
Tension Type Headache ◽  
Primary Headaches ◽  
Cochrane Central Register ◽  
Primary Headache Disorders ◽  
Alternative Medicines ◽  
Central Register ◽  
Headache Management ◽  
Type Headache

Background The use of complementary and alternative medicines (CAM) is common among patients with primary headaches. In parallel, CAM research is growing. Diet interventions comprise another category of non-pharmacologic treatment for primary headache that is of increasing clinical and research interest. Methods A literature search was carried out to identify studies on the efficacy of diet and nutraceutical interviews for primary headache in the pediatric and adult populations. MEDLINE, Embase and EBM Reviews—Cochrane Central Register of Controlled Trials were searched to identify studies. Results There is a growing body of literature on the potential use of CAM and diet interventions for primary headache disorders. This review identified literature on the use of a variety of diet and nutraceutical interventions for headache. Most of the studies assessed the efficacy of these interventions for migraine, though some explored their role in tension-type headache and cluster headache. The quality of the evidence in this area is generally poor. Conclusions CAM is becoming more commonplace in the headache world. Several interventions show promise, but caution needs to be exercised in using these agents given limited safety and efficacy data. In addition, interest in exploring diet interventions in the treatment of primary headaches is emerging. Further research into the efficacy of nutraceutical and diet interventions is warranted.

Psychopathology in children and adolescents with primary headaches: Categorical and dimensional approaches

Cephalalgia ◽  
2013 ◽  
Vol 33 (16) ◽  
pp. 1311-1318 ◽  
Author(s):  
Francesco Margari ◽  
Elisabetta Lucarelli ◽  
Francesco Craig ◽  
Maria G Petruzzelli ◽  
Paola A Lecce ◽  
...  
Keyword(s):  
Behavioral Problems ◽  
Child Psychopathology ◽  
Psychiatric Comorbidity ◽  
Primary Headache ◽  
Tension Type Headache ◽  
Emotional And Behavioral Problems ◽  
Control Group ◽  
Primary Headaches ◽  
Healthy Children ◽  
Type Headache

Background Recurrent headache is common in childhood, but there is not a great amount of data on the associations between headaches and psychopathology in children. Objective The aim of this study is to examine the relationships between primary headaches and psychopathology in children, using both the categorical and dimensional assessment. Methods The sample consisted of 70 patients with primary headache compared to a matched sample of 50 healthy children. Psychiatric comorbidity was defined according to the diagnostic criteria of the Diagnostic and Statistical Manual of Disorders. Child psychopathology outcomes were assessed using child- and parent-reported standardized instruments. Results Internalizing and externalizing problems were significantly represented among children with headaches compared to the control group, respectively 63% and 27%, without significant differences between migraine and tension-type headache children. Moreover, a total of 26% of the children with a headache reported psychiatric comorbidity such as anxiety and mood disorders. Conclusion The dimensional approach improves accuracy in the recognition of emotional and behavioral problems compared to the categorical approach; however, the use of both of these approaches could be useful for clinical practice, treatment and research.

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