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.

Rare primary headaches in Italian tertiary Headache Centres: Three year nationwide retrospective data from the RegistRare Network

Cephalalgia ◽  
2018 ◽  
Vol 38 (8) ◽  
pp. 1429-1441 ◽  
Author(s):  
Chiara Lupi ◽  
Luana Evangelista ◽  
Valentina Favoni ◽  
Antonio Granato ◽  
Andrea Negro ◽  
...  
Keyword(s):  
Case Series ◽  
Primary Headache ◽  
Cooperative Networks ◽  
International Classification ◽  
Primary Headaches ◽  
Headache Disorders ◽  
Primary Headache Disorders ◽  
Incident Cases ◽  
Headache Centres

Background Rare primary headaches are mainly included in Chapters 3, Trigeminal autonomic cephalalgias, and 4, Other primary headache disorders, Part One of the International Classification of Headache Disorders 3rd edition. Epidemiological data are scarce, mostly emerging from case series or small studies, with the exception of cluster headache. In order to overcome the knowledge gap about rare primary headaches, the RegistRare Network was launched in 2017 to promote research in the field. Methods A retrospective cohort study including patients who, from April 30, 2014 to May 1, 2017, visited seven Italian tertiary Headache Centres, was undertaken to estimate in that clinical setting prevalence and incidence of headaches included in Chapters 3 and 4, Part One of the International Classification of Headache Disorders 3rd edition. Prevalent headache is defined as a headache recorded within the study timeframe, regardless of when the diagnosis was made. Incident headache is defined as a headache diagnosed for the first time in the patient during the study period. Results Twenty thousand and eighty-three patients visited the participating centres, and 822 (4.1%) prevalent cases, of which 461 (2.3%) were incident cases, were registered. Headaches listed in Chapter 3 affected 668 patients, representing 81.3% of the total number of prevalent cases. Headaches listed in Chapter 4 affected 154 patients and represent 18.7% of the total number of prevalent cases. Cluster headaches represent the most frequently diagnosed rare headaches (70.4%). For 13 entities out of 20, no cases were registered in more than 50% (n ≥ 4) of the centres, and for 14 entities more than 50% of diagnoses were incident. Conclusions This large, multicentre study gives the first wide-ranging snapshot of the burden in clinical practice of rare headaches and confirms that cooperative networks are necessary to study rare headaches, as their prevalence is often very low. The launch of a disease registry by the RegistRare Network will favour research in this neglected population of headache patients. Trial registration NCT03416114.

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.

Tolosa-Hunt Syndrome: Appraising the ICHD-3 beta diagnostic criteria

Cephalalgia ◽  
2017 ◽  
Vol 38 (10) ◽  
pp. 1696-1700 ◽  
Author(s):  
Evan Mullen ◽  
Mark Green ◽  
Eliza Hersh ◽  
Alfred-Marc Iloreta ◽  
Joshua Bederson ◽  
...  
Keyword(s):  
Diagnostic Criteria ◽  
False Negative ◽  
Granulomatous Inflammation ◽  
International Classification ◽  
Headache Disorders ◽  
Hunt Syndrome ◽  
Cranial Nerve Palsies ◽  
Beta Version

Introduction The term Tolosa-Hunt Syndrome was first used more than half a century ago to describe painful ophthalmoplegia accompanied by cranial nerve palsies. In the decades since, its diagnostic criteria have evolved considerably. The beta version of the 3rd Edition of the International Classification of Headache Disorders narrows these criteria to require the demonstration of granulomatous inflammation on MRI or biopsy. We believe this may introduce challenges to accurate diagnosis. Discussion Requiring the demonstration of granulomatous inflammation for a diagnosis of Tolosa-Hunt Syndrome may introduce the potential for false negative and false positive diagnoses. Although the disorder presents secondary to granulomatous inflammation, MRI technology may not be able to identify it reliably, and biopsy is not always indicated for its symptomatology. Additionally, several cases have been reported of Tolosa-Hunt Syndrome diagnosed with MRI-confirmed granulomatous inflammation that later prove to be attributable to other pathologies. The emphasis on neuroimaging may therefore exclude some true Tolosa-Hunt Syndrome cases and include others resulting from other latent pathologies that are not visible on MRI. Conclusion We wish to offer several potential modifications to the International Classification of Headache Disorders guidelines for Tolosa-Hunt Syndrome, including making the demonstration of granulomatous inflammation on MRI or biopsy non-mandatory and lengthening patient follow-up to two years for cases in which MRI is unrevealing.

scholarly journals Comprehensive Application of the International Classification of Headache Disorders Third Edition, Beta Version

2016 ◽  
Vol 31 (1) ◽  
pp. 106 ◽  
Author(s):  
Byung-Kun Kim ◽  
Soo-Jin Cho ◽  
Byung-Su Kim ◽  
Jong-Hee Sohn ◽  
Soo-Kyoung Kim ◽  
...  
Keyword(s):  
International Classification ◽  
Headache Disorders ◽  
Beta Version

Relação entre cefaleia primária e restrição de amplitude de movimento cervical: um estudo piloto

2014 ◽  
pp. 14-20
Author(s):  
Manuella Moraes Monteiro Barbosa Barros ◽  
Angélica da Silva Tonório ◽  
Thaís Ferreira Lopes Diniz Maia ◽  
Camila Carolinne Silva de Almeida ◽  
Daniella Araújo de Oliveira
Keyword(s):  
International Classification ◽  
Headache Disorders ◽  
Beta Version

Introdução: As cefaleias constituem a sintomatologia neurológica mais comum em todo o mundo; a presença desta alteração pode promover diversas consequências na biomecânica dos músculos cervicais, que podem limitar a mobilidade cervical e causar prejuízos aos pacientes que sofrem com cefaleia. Objetivo: Avaliar a relação entre a presença de cefaleia primária e a restrição na amplitude de movimento cervical. Métodos: Foi realizado um estudo piloto com 33 indivíduos (27 mulheres) com idade entre 20 e 38 anos (26 ± 5 anos). Para avaliar a mobilidade cervical ativa foi utilizado o goniômetro universal. O grau de disfunção cervical foiavaliado pelo questionário de Índice de Disfunção relacionado ao Pescoço. Para classificar a cefaleia primária foram utilizados os critérios estabelecidos pela International Classification of Headache Disorders (ICHD-III beta version, 2013). Resultados: Não houve diferenças estatísticas entre os grupos em relação ao gênero e última crise de cefaleia. A mobilidade cervical apresentou diferenças entre os grupos com cefaleia e saudáveis, mas essas não foram estatisticamente significantes. Também houve diferenças entre os grupos cefaleia e saudáveis em relação à classificação do Índice de Disfunção relacionado ao Pescoço, sem diferença significante (p<0,05). Conclusão: O estudo não demonstrou diferença entre a mobilidade cervical em pacientes com cefaleia primária, quando comparados a indivíduos saudáveis.

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