Paranasal Sinus Disease in Children With Headache

2017 ◽  
Vol 32 (12) ◽  
pp. 1014-1017 ◽  
Author(s):  
Ronan J. Vieira Neto ◽  
Karine C. S. Teixeira ◽  
Marilisa M. Guerreiro ◽  
Maria Augusta Montenegro
Keyword(s):  
Disease Control ◽  
Migraine Without Aura ◽  
International Headache Society ◽  
Primary Headache ◽  
Tension Type Headache ◽  
Common Finding ◽  
Control Group ◽  
Fisher Exact Test ◽  
Sinus Disease ◽  
Type Headache

Background: Sinus headache is one of the most frequent misdiagnosis given to children with headache. The objective of this study is to evaluate the frequency of sinus disease in children with headache that do not fulfill the criteria for headache attributed to disorder of the nose or paranasal sinuses. Methods: This is a prospective study conducted at the authors’ pediatric neurology clinic. Data from children with headache was evaluated and compared with a disease control group composed of children without history of headache. All patients underwent neuroimaging assessment. Patients with diagnosis of acute infectious sinus disease were excluded from the analysis. The type of headache was classified according to the International Headache Society. Statistical analysis was performed using the Fisher exact test, with a level of significance of .05. Results: A total of 62 patients with headache were evaluated; 24 boys, 38 girls, ages ranging from 3 to 18 years (mean = 9.7 years). Of the patients, 29 had migraine without aura, 4 had frequent episodic tension type headache, 3 had both migraine without aura and frequent episodic tension type headache, 3 had migraine with brainstem aura, 2 had episodic tension type headache, 1 had migraine with aura. In 20 patients the type of headache could not be established. The disease control group had 41 patients; 25 boys, 16 girls, ages ranging from 3 to 17 years (mean = 7.3 years). Sinus abnormalities detected by neuroimaging were present in 12 patients in the headache group and in 11 patients in the disease control group ( P = .469). Conclusion: The authors conclude that sinus abnormalities are a common finding in neuroimaging tests of children with or without headache. Sinus disease disclosed by neuroimaging evaluation should not preclude the diagnosis of migraine or other types of primary headache.

scholarly journals Use of MPV and MPV/Plt Ratio in the Differentiation of Migraine and Tension-Type Headache

2018 ◽  
Vol 49 (1) ◽  
pp. 15-19
Author(s):  
Ersin Kasim Ulusoy
Keyword(s):  
Large Scale ◽  
International Headache Society ◽  
Primary Headache ◽  
Tension Type Headache ◽  
Healthy Control Group ◽  
Control Group ◽  
Neurology Clinic ◽  
Healthy Control ◽  
And Gender ◽  
Type Headache

AbstractPurposeMean platelet volume (MPV) is an indicator of platelet (Plt) function and activation. The purpose of this study is to demonstrate whether MPV and MPV/Plt ratio, indicators of Plt activation, are increased in migraine patients, compared to tension-type headache (TTH) and healthy control groups, in our large-scale study, and whether these two primary headache types with unknown pathophysiology may be differentiated by using MPV and MPV/Plt ratio.Materials and methodsEighty patients diagnosed with migraine as per the 2004 diagnosis criteria of the International Headache Society (IHS), 80 patients with TTH who have applied to the Neurology Clinic of our hospital, and 80 healthy subjects who have applied to the Family Practice Clinic and Blood Bank were enrolled in this study. MPV and MPV/Plt ratio in both patients of similar age and gender who were diagnosed with migraine as well as in the TTH group and healthy control group were compared.FindingsThe MPV/Plt ratio was 0.046±0.008 in migraine patients, 0.037±0.009 in patients with TTH, and 0.036±0.009 in the healthy control group. This difference was statistically significant (p<0.05). The cutoff value of MPV/Plt ratio for differentiating migraine and TTH was 0.037. The sensitivity of this value was 92.5%, while specificity was 55%.Conclusion We have demonstrated that the most commonly confused primary headache types may be differentiated by using MPV and MPV/Plt ratio, and therefore, the disability caused by migraine and unsuitable, unnecessary, and long-term drug therapies may be avoided in patients.

Chronic Post-Traumatic Headaches Classified and Compared with Natural Headaches

Cephalalgia ◽  
1996 ◽  
Vol 16 (7) ◽  
pp. 486-493 ◽  
Author(s):  
DC Haas
Keyword(s):  
Migraine Without Aura ◽  
International Headache Society ◽  
Tension Type Headache ◽  
Control Group ◽  
Control Groups ◽  
Chronic Tension Type Headache ◽  
Naturally Occurring ◽  
Post Traumatic ◽  
Type Headache ◽  
And Control

This study sought to determine whether chronic post-traumatic headaches are different from or identical to the naturally occurring headaches. The chronic post-traumatic headaches of 48 patients were classified, as if they were natural headaches, by the diagnostic criteria of the International Headache Society. Thirty-six patients' headaches (75%) were chronic tension-type headache, 10 (21%) were migraine without aura, and 2 (4%) were unclassifiable. The characteristics and accompaniments of the headaches within each diagnostic group were then compared to those in a control group with natural headaches of the same type. No notable differences between the post-traumatic and control groups were found. Hence, chronic post-traumatic headaches have no special features, but are symptomatically identical to either chronic tension-type headache or migraine without aura (in this series of patients). This identity suggests that post-traumatic headaches are generated by the same processes causing the natural headaches, not by intracranial derangement from head blows or jolts.

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.

scholarly journals Prevalence and impact of headache in undergraduate students in Southern Brazil

2010 ◽  
Vol 68 (6) ◽  
pp. 873-877 ◽  
Author(s):  
Asdrubal Falavigna ◽  
Alisson Roberto Teles ◽  
Maíra Cristina Velho ◽  
Viviane Maria Vedana ◽  
Roberta Castilhos da Silva ◽  
...  
Keyword(s):  
Undergraduate Students ◽  
International Headache Society ◽  
Primary Headache ◽  
Tension Type Headache ◽  
Significant Difference ◽  
Headache Episode ◽  
Headache Type ◽  
Probable Migraine ◽  
Type Headache ◽  
The University

OBJECTIVE: To determine the prevalence, characteristics and impact of headache among university students. METHOD: The criteria established by the International Headache Society were used to define the primary headache subtypes and the Migraine Disability Assessment Questionnaire (MIDAS), to assess the disability. The students were then grouped into six categories: [1] migraine; [2] probable migraine; [3] tension-type headache; [4] probable tension-type headache; [5] non-classifiable headache; [6] no headache. RESULTS: Of all undergraduate students interviewed, 74.5% had at least one headache episode in the last three months. Regarding disability, there was a significant difference between the headache types (p<0.0001). In the post-hoc analysis, migraine was the headache type with most reported disability. CONCLUSION: Headache is a highly prevalent condition among the students at the University of Caxias do Sul. This disease may have a major impact on the students' lives and in some cases, ultimately lead to educational failure.

Headache Prevalence Among Adolescents — The German DMKG Headache Study

Cephalalgia ◽  
2007 ◽  
Vol 27 (4) ◽  
pp. 347-354 ◽  
Author(s):  
K Fendrich ◽  
M Vennemann ◽  
V Pfaffenrath ◽  
S Evers ◽  
A May ◽  
...  
Keyword(s):  
International Headache Society ◽  
Primary Headache ◽  
Population Based ◽  
Cross Sectional Study ◽  
Tension Type Headache ◽  
Cross Sectional ◽  
Primary Headache Disorders ◽  
Ihs Criteria ◽  
Probable Migraine ◽  
Type Headache

This population-based cross-sectional study examined the 3-month prevalence of headache, migraine and tension-type headache (TTH) among adolescents aged 12-15 years in Germany Students ( n = 3324) from 20 schools completed a questionnaire on general and headache-specific pain which included a sociodemographic module. The headache-specific questionnaire complied with the respective revised criteria of the International Headache Society (IHS). 'Modified criteria' changed the item 'duration' in migraine (>30 min instead of >4 h). The overall 3-month prevalence of headache was 69.4% (boys 59.5%, girls 78.9%), with 4.4% of the adolescents suffering from frequent (≥ 14 days/3 months) and severe (grade 8-10 on a 10-point visual analogue scale) headache and 1.4% (boys 0.9%, girls 1.9%) from headache ≥15 days/month. The 3-month prevalence of migraine was 2.6% (boys 1.6%, girls 3.5%) applying strict IHS criteria and 6.9% (boys 4.4%, girls 9.3%) with modified criteria; 12.6% (boys 8.3%, girls 16.7%) suffered from probable migraine, 0.07% fulfilled the criteria for chronic migraine, 4.5% (boys 4.6%, girls 4.3%) suffered from TTH, 0.2% from chronic TTH and 15.7% (boys 14.5%, girls 16.9%) from probable TTH. Headache and migraine were more common in girls than in boys and in teenagers, especially in girls, aiming at higher education. Recurrent headache and primary headache disorders are common complaints among German adolescents, especially among girls.

scholarly journals Diagnosis of primary headache in children younger than 6 years: A clinical challenge

Cephalalgia ◽  
2016 ◽  
Vol 37 (10) ◽  
pp. 947-954 ◽  
Author(s):  
Roberto Torriero ◽  
Alessandro Capuano ◽  
Rosanna Mariani ◽  
Roberto Frusciante ◽  
Samuela Tarantino ◽  
...  
Keyword(s):  
International Headache Society ◽  
Primary Headache ◽  
Tension Type Headache ◽  
Preschool Age ◽  
Clinical Feature ◽  
Primary Headaches ◽  
Clinical Challenge ◽  
Adults And Children ◽  
Type Headache

Background Criteria defined by the International headache Society are commonly used for the diagnosis of the different headache types in both adults and children. However, some authors have stressed some limits of these criteria when applied to preschool age. Objective Our study aimed to describe the characteristics of primary headaches in children younger than 6 years and investigate how often the International Classification of Headache Disorders (ICHD) criteria allow a definitive diagnosis. Methods This retrospective study analysed the clinical feature of 368 children younger than 6 years with primary headache. Results We found that in our patients the percentage of undefined diagnosis was high when either the ICHD-II or the ICHD-III criteria were used. More than 70% of our children showed a duration of their attacks shorter than 1 hour. The absence of photophobia/phonophobia and nausea/vomiting significantly correlate with tension-type headache (TTH) and probable TTH. The number of first-degree relatives with migraine was positively correlated to the diagnosis of migraine in the patients ( p < 0.001). Conclusions Our study showed that the ICHD-III criteria are difficult to use in children younger than 6 years. The problem is not solved by the reduction of the lowest duration limit for the diagnosis of migraine to 1 hour, as was done in the ICHD-II.

scholarly journals Gambaran penggunaan ponsel pintar sebagai faktor risiko nyeri kepala primer pada mahasiswa angkatan 2013 Fakultas Kedokteran Universitas Sam Ratulangi Manado

e-CliniC ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Kezia Oroh ◽  
Junita M. Pertiwi ◽  
Theresia Runtuwene
Keyword(s):  
Cluster Headache ◽  
Migraine With Aura ◽  
Migraine Without Aura ◽  
Smart Phone ◽  
Primary Headache ◽  
Tension Type Headache ◽  
Smart Phones ◽  
Primary Data ◽  
Phone User ◽  
Type Headache

Abstract: The aim of this research is to get a description of smart phone usage as a factor of primary headache to the students of medical faculty year 2013 Sam Ratulangi Unifersity of Manado. This research is a kind of descriptive research by approach of latitude cut. Received data are from primary data using questioner. From 243 of the total respondent there are 72 male respondents and 171 female respondents, with the percentages of each primary headache as follows: tension-type headache 72.84%, migraine without aura 17.28%, migraine with aura 8.64% and cluster headache 1.23%. The most usage feature of the smart phone user is social media (40.16%). The length of smart phone usage is 5 to 7 hours a day (47.33%). 64.61% of the respondents that using a smart phone experienced an eye ache. 48.98% of the respondents are those who do physic activities less than two times during fifteen minutes or more in one week. 48.56% of the respondents are using the smart phones with 30 degree neck declivity. Respondents who are using smart phones experienced tension-type headache is 75.71%, migraine without aura 16.43% , migraine with aura 7.15% and cluster headache 0.71%.Keywords: primary headache, smart phones Abstrak: Penelitian ini bertujuan untuk mendapatkan gambaran penggunaan ponsel pintar sebagai faktor risiko nyeri kepala primer pada mahasiswa angkatan 2013 fakultas kedokteran Universitas Sam Ratulangi. Jenis penelitian ini deskriptif dengan pendekatan potong lintang. Data yang didapat melalui data primer menggunakan kuesioner. Dari total 243 responden, diperoleh 72 responden laki-laki dan 171 responden perempuan, dengan presentase untuk setiap jenis nyeri kepala primer adalah sebagai berikut: nyeri kepala tipe tegang 72.84%, migren tanpa aura 17.28%, migren dengan aura 8.64% dan nyeri kepala klaster 1.23%. Fitur yang sering digunakan pada ponsel pintar adalah sosial media (40.16%). Lama penggunaan ponsel pintar 5-7 jam dalam sehari (47.33%). 64.61% dari responden yang menggunakan ponsel pintar terdapat keluhan mata. 48.98% dari responden adalah mereka yang melakukan aktivitas fisik < 2x selama > 15 menit dalam seminggu. 48.56% responden menggunakan ponsel pintar dengan kemiringan leher 30o. Responden yang menggunakan ponsel pintar dan mengeluhkan nyeri kepala tipe tegang 75.71%, migren tanpa aura 16.43%, migren dengan aura 7.15% dan klaster 0.71%. Kata kunci: nyeri kepala primer, ponsel pintar

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.

Osmophobia in Migraine and Tension-Type Headache and Its Clinical Features in Patients With Migraine

Cephalalgia ◽  
2007 ◽  
Vol 27 (9) ◽  
pp. 1061-1068 ◽  
Author(s):  
G Zanchin ◽  
F Dainese ◽  
M Trucco ◽  
F Mainardi ◽  
E Mampreso ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Cigarette Smoke ◽  
Clinical Features ◽  
Migraine With Aura ◽  
Migraine Without Aura ◽  
Primary Headache ◽  
Tension Type Headache ◽  
Headache Centre ◽  
History Of ◽  
Type Headache

Intolerance to smell is often reported by migraine patients. This study evaluates osmophobia in connection with the diagnosis of migraine and episodic tension-type headache (ETTH). The characteristics of this symptom are also investigated. We recruited from our Headache Centre 1005 patients (772 female, 233 male; age 37 ± 11 years), of whom 677 were migraine without aura (MoA), 130 migraine with aura (MA) and 198 TTH. Patients with two or more forms of primary headache were excluded. Among migraine patients, 43.9% with MoA and 38.5% with MA reported osmophobia during the attacks; none of the 198 TTH patients suffered this symptom. Most frequently offending odours were scents (63.9%), food (55.2%) and cigarette smoke (54.8%). Osmophobia appears structurally integrated into the migraine history of the patient. It seems to be a peculiar symptom favouring the diagnosis of migraine (MoA and MA) in the differential diagnosis with ETTH.

Characteristics of Headache in Migraine Without Aura and Episodic Tension-Type Headache in The Turkish Population According to the IHS Classification

Cephalalgia ◽  
1994 ◽  
Vol 14 (2) ◽  
pp. 171-173 ◽  
Author(s):  
LE Inan ◽  
F Cankat Tulunay ◽  
A Guvener ◽  
G Tokgoz ◽  
N Inan
Keyword(s):  
Physical Activity ◽  
Severe Pain ◽  
Migraine Without Aura ◽  
International Headache Society ◽  
Turkish Population ◽  
Tension Type Headache ◽  
Ihs Classification ◽  
Type Headache ◽  
Headache Patients

We evaluated the characteristics of headache in migraine without aura and episodic tension-type headache diagnosed according to the International Headache Society (IHS) Classification. Fifty migraine without aura and 50 tension-type headache patients were selected prospectively. Fifty-eight percent of migraineurs had pain of a pulsating quality; 88% had severe pain and 74% had unilateral pain; aggravation by routine physical activity was reported by 96%. Episodic tension-type headache was of a pressing quality in 52%, moderate in 40%, bilateral in 82% and aggravated by routine physical activity in 16%. Nausea and/or vomiting, photophobia and phonophobia were reported significantly more commonly in migraineurs than tension-type headache patients.

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