Characterization of headaches in the premenstrual tension syndrome

OBJECTIVE: Characterization of headaches in premenstrual syndrome (PMS). Although headache is one of the symptoms for PMS, no details on this headache are given by the American College of Obstetrics and Gynecology (ACOG) criteria. METHOD: A group of 45 fertile age women presenting PMS were invited to complete a registration diary for headache and PMS symptoms for three consecutive months. The diary included details of each headache attack, allowing for classification according to the International Headache Society criteria (IHS-2004). RESULTS: Migraine without aura was the most common type of headache in PMS (n=27, 60%), followed by tension type headache (n=15, 30%). Only in two cases the type of headache varied among the observed months, and only in one case the diagnosis could not be concluded by the IHS-2004 criteria. CONCLUSION: Better clinical and therapeutic approach to headache in PMS can be achieved if the patient's type of headache could be properly characterized.

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A prospective study on osmophobia in migraine versus tension-type headache in a large series of attacks

Cephalalgia ◽

10.1177/0333102419877661 ◽

2019 ◽

Vol 40 (4) ◽

pp. 337-346 ◽

Cited By ~ 3

Author(s):

Alberto Terrin ◽

Federico Mainardi ◽

Carlo Lisotto ◽

Edoardo Mampreso ◽

Matteo Fuccaro ◽

...

Keyword(s):

Prospective Study ◽

Diagnostic Criteria ◽

Migraine Without Aura ◽

Tension Type Headache ◽

Headache Disorders ◽

Headache Attack ◽

Accompanying Symptoms ◽

Type Headache ◽

A Prospective Study

Background In literature, osmophobia is reported as a specific migrainous symptom with a prevalence of up to 95%. Despite the International Classification of Headache Disorders 2nd edition proposal of including osmophobia among accompanying symptoms, it was no longer mentioned in the ICHD 3rd edition. Methods We conducted a prospective study on 193 patients suffering from migraine without aura, migraine with aura, episodic tension-type headache or a combination of these. After a retrospective interview, each patient was asked to describe in detail osmophobia, when present, in the following four headache attacks. Results In all, 45.7% of migraine without aura attacks were associated with osmophobia, 67.2% of migraineurs reported osmophobia in at least a quarter of the attacks. No episodic tension-type headache attack was associated with osmophobia. It was associated with photophobia or phonophobia in 4.3% of migraine without aura attacks, and it was the only accompanying symptom in 4.7% of migraine without aura attacks. The inclusion of osmophobia in the ICHD-3 diagnostic criteria would enable a 9.0% increased diagnostic sensitivity. Conclusion Osmophobia is a specific clinical marker of migraine, easy to ascertain and able to disentangle the sometimes challenging differential diagnosis between migraine without aura and episodic tension-type headache. We recommend its inclusion among the diagnostic criteria for migraine as it increases sensitivity, showing absolute specificity.

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Chronic Post-Traumatic Headaches Classified and Compared with Natural Headaches

Cephalalgia ◽

10.1046/j.1468-2982.1996.1607486.x ◽

1996 ◽

Vol 16 (7) ◽

pp. 486-493 ◽

Cited By ~ 94

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.

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

Cephalalgia ◽

10.1046/j.1468-2982.1994.1402171.x ◽

1994 ◽

Vol 14 (2) ◽

pp. 171-173 ◽

Cited By ~ 15

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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Post-traumatic headache

Arquivos de Neuro-Psiquiatria ◽

10.1590/s0004-282x2009000100011 ◽

2009 ◽

Vol 67 (1) ◽

pp. 43-45 ◽

Cited By ~ 15

Author(s):

Hugo André de Lima Martins ◽

Valdenilson Ribeiro Ribas ◽

Bianca Bastos Mazullo Martins ◽

Renata de Melo Guerra Ribas ◽

Marcelo Moraes Valença

Keyword(s):

Head Injury ◽

Migraine Without Aura ◽

International Headache Society ◽

Tension Type Headache ◽

Time Interval ◽

Mild Head Injury ◽

Ihs Classification ◽

Ihs Criteria ◽

Post Traumatic ◽

Type Headache

The onset of post-traumatic headache (PTC) occurs in the first seven days after trauma, according to the International Headache Society (IHS) classification. The objective of this study was to evaluate the several forms of headache that appear after mild head injury (HI) and time interval between the HI and the onset of pain. We evaluated 41 patients with diagnosis of mild HI following the IHS criteria. Migraine without aura and the chronic tension-type headache were the most prevalent groups, occurring in 16 (39%) and 14 (34.1%) patients respectively. The time interval between HI and the onset of headache was less than seven days in 20 patients (48.7%) and longer than 30 days in 10 (24.3%) patients. The results suggest that PTC may arise after a period longer than is accepted at the present by the IHS.

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Assessment of International Headache Society Diagnostic Criteria: A Reliability Study

Cephalalgia ◽

10.1046/j.1468-2982.1994.1404280.x ◽

1994 ◽

Vol 14 (4) ◽

pp. 280-284 ◽

Cited By ~ 45

Author(s):

M Leone ◽

G Filippini ◽

D D'Amico ◽

M Farinotti ◽

G Bussone

Keyword(s):

Diagnostic Criteria ◽

Medical Records ◽

Migraine Without Aura ◽

International Headache Society ◽

Tension Type Headache ◽

Kappa Statistics ◽

Reliability Study ◽

Ihs Criteria ◽

Craniofacial Pain ◽

Type Headache

In 1988 the International Headache Society (IHS) introduced new diagnostic criteria for headaches and craniofacial pain. Since headaches can be diagnosed solely on the basis of information provided by the patient, it is essential that the criteria are reproducible and consistent. phenomena to a form designed to reflect the IHS criteria. Interobserver concordance (kappa statistics) in the application of the diagnostic hemicrania; kappa = 0.88 for migraine; kappa = 0.75 for tension-type headache; (ii) “almost perfect” to “substantial” for the second digit migraine without aura; kappa = 0.71 for chronic tension-type headache; kappa = 0.66 for cluster headache-like disorder not fulfilling the eria. These results show that the IHS diagnostic criteria are satisfactorily applicable to high quality medical records abstracted by experienced.

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Paranasal Sinus Disease in Children With Headache

Journal of Child Neurology ◽

10.1177/0883073817724696 ◽

2017 ◽

Vol 32 (12) ◽

pp. 1014-1017 ◽

Cited By ~ 2

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.

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Perimenstrual headache: Migraine without aura or premenstrual syndrome symptom?

Vojnosanitetski pregled ◽

10.2298/vsp1012969s ◽

2010 ◽

Vol 67 (12) ◽

pp. 969-976 ◽

Cited By ~ 2

Author(s):

Ana Sundic ◽

Jasna Zidverc-Trajkovic ◽

Svetlana Vujovic ◽

Nadezda Sternic

Keyword(s):

Premenstrual Syndrome ◽

Migraine Headache ◽

Migraine Without Aura ◽

Tension Type Headache ◽

Menstrual Migraine ◽

Menstrually Related Migraine ◽

Headache Onset ◽

Perimenstrual Headache ◽

Type Headache ◽

Pure Menstrual Migraine

Background/Aim. Definition of menstrual migraine as a specific clinical entity or, maybe, migraine headache with menstrually related occurring, still remains unresolved question. The aim of this study was to investigate if perimenstrual headache in our patients fulfills diagnostic the International Classification of Headache Disorders (ICHD) criteria for migraine without aura or represents a different type of headache which is the symptom of premenstrual syndrome (PMS). Methods. The study included 50 women with headache in perimenstrual period in at least two out of three menstrual cycles, during the last year or longer. Two questionnaires, a questionnaire for headache and a questionnaire for PMS, were used. Results. The majority of all the examined women, 29 of them, had migraine and PMS and 9 women had migraine without PMS. Headache in 38 (76.0%) patients fulfilled diagnostic criteria for menstrual migraine, (26 and 12 women had pure menstrual migraine and menstrually related migraine respectively). Intensity of PMS was not different in a groups of women with different types of headache (p = 0.184): a total number of PMS symptoms was 8.2 ? 4.6 in the group with pure menstrual migraine, 10.8 ? 3.9 in the group with menstrually related migraine and 10.8 ? 6.3 in the group with non-migraine headache. Conclusion. This study shows that headache, occuring in perimenstrual period, is not always migraine, but could fulfill criteria for tension-type headache, as well. Specific characteristics of perimenstrual headache, which could distinguish it as a symptom of PMS, were not found. Expected relation in time of headache onset and menarche was not confirmed.

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Perinatal outcomes in women affected by different types of headache disorders: A prospective cohort study

Cephalalgia ◽

10.1177/03331024211029236 ◽

2021 ◽

pp. 033310242110292

Author(s):

Isabella Neri ◽

Daniela Menichini ◽

Francesca Monari ◽

Ludovica Spanò Bascio ◽

Federico Banchelli ◽

...

Keyword(s):

Migraine With Aura ◽

Gestational Age ◽

Small For Gestational Age ◽

Migraine Without Aura ◽

Perinatal Outcomes ◽

First Trimester ◽

Tension Type Headache ◽

Headache Disorders ◽

Aneuploidy Screening ◽

Type Headache

Objective This study aims to investigate pregnancy and perinatal outcomes in women with tension-type headache, migraine without aura and migraine with aura by comparing them to women without any headache disorders. Study design Prospective cohort study including singleton pregnancies attending the first trimester aneuploidy screening at the University Hospital of Modena, in Northern Italy, between June 2018 and December 2019. Results A total of 515 consecutive women were included and headache disorders were reported in 43.5% of them (224/515). Tension-type headache was diagnosed in 24.3% of the cases, while 14% suffered from migraine without aura and 5.2% from migraine with aura. Birthweight was significantly lower in women affected by migraine with aura respective to other groups, and a significantly higher rate of small for gestational age infants was found in tension-type headache (10.4%) and in migraine with aura (24.9%) groups respective to the others (p < 0.001). Moreover, the admission to the neonatal intensive care unit was significantly higher in all the headache groups (p = 0.012). Multivariate analysis showed that women presenting tension-type headache (OR 4.19, p = 0.004), migraine with aura (OR 5.37, p = 0.02), a uterine artery pulsatility index >90th centile (OR 3.66, p = 0.01), low multiple of the median (MoM) of Pregnancy-associated plasma protein-A (PAPP-A) (OR 0.48, p = 0.05) and high MoM of Inhibin-A (OR 3.24, p = 0.03) at first trimester, are independently associated with the delivery of small for gestational age infants when compared to women without headache disorders. Conclusion Migraine with aura and tension type headache expose women to an increased risk of delivering small for gestational age infants, in association with some utero-placenta markers evaluated at first trimester. These women with headache disorders have an additional indication to undergo first trimester aneuploidy screening and would possibly benefit from specific interventions.

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Personality Traits in Childhood and Adolescent Headache

Cephalalgia ◽

10.1046/j.1468-2982.2001.00144.x ◽

2001 ◽

Vol 21 (1) ◽

pp. 53-60 ◽

Cited By ~ 28

Author(s):

G Lanzi ◽

CA Zambrino ◽

O Ferrari-Ginevra ◽

C Termine ◽

S D'Arrigo ◽

...

Keyword(s):

Clinical Study ◽

Personality Traits ◽

Test Anxiety ◽

Migraine Without Aura ◽

Tension Type Headache ◽

Personality Characteristics ◽

Anxiety And Depression ◽

Sociodemographic Data ◽

Type Headache ◽

Adolescent Headache

We evaluate personality traits, anxiety and depression in a population of paediatric and adolescent patients, correlating personality characteristics with headache and sociodemographic variables. The clinical features of headache include specific personality traits. We report a clinical study of 57 patients (age 8–18 years), divided up as follows: 12 migraine with aura, 29 migraine without aura and 16 tension-type headache. One of Cattel's tests was administered to every patient; the Children's Depression Inventory test was administered to 53 patients and the Test Anxiety Inventory test to 43 subjects. The scores obtained by every patient in each test were correlated with the characteristics of headache and with sociodemographic data. We found that patients affected by idiopathic headache share some personality traits, mainly emotional rigidity and tendency to repress anger and aggression. These traits do not seem to be correlated with sociodemographic data and the duration of headache: we considered these as characteristic of migrainous patients.

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Prevalence and impact of headache in undergraduate students in Southern Brazil

Arquivos de Neuro-Psiquiatria ◽

10.1590/s0004-282x2010000600008 ◽

2010 ◽

Vol 68 (6) ◽

pp. 873-877 ◽

Cited By ~ 13

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.

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