scholarly journals PROFILE OF PRIMARY HEADACHE PATIENTS IN NEUROLOGICAL POLYCLINIC

2021 ◽  
Vol 2 (1) ◽  
pp. 1-4
Author(s):  
Yulia Damayanti ◽  
Eko Arisetijono Marhaendraputro ◽  
Widodo Mardi Santoso ◽  
Dessika Rahmawati
Keyword(s):  
Primary Headache ◽  
Tension Type Headache ◽  
Analysis Technique ◽  
Social Quality Of Life ◽  
Type Headache ◽  
Observational Descriptive Study ◽  
Life Work ◽  
Headache Patients ◽  
Research Show

Headache is the most common neurological disorder among all the symptoms of general health problems. Headaches are the most frequently complained of after back pain, which brings someone to the doctor and harms personal, family, social, quality of life, work, and finances. This study aims to find out the characteristics of primary headache patients in the neurological polyclinic, RSUD dr. Saiful Anwar Malang. The design of this research was an observational descriptive study of the filled headache questionnaire was to determine the characteristics of headache patients who visited the neurological polyclinic at dr. Saiful Anwar Malang with complaints of primary headache. The procedure of this research is to provide a questionnaire. The data analysis technique used is that the research variables will be presented in the frequency distribution table. The results of this research show that primary headache was more common in women as many as 19 people (61%) compared to male 12 people (39%). Most of the primary headache patients who came to the neurological clinic of Saiful Anwar Hospital were 30-60 years old. Tension-Type Headache (TTH) in this study had the highest percentage of 58%. In this study, cluster headache two patients all attacked women.

scholarly journals Association Between Quality Of Sleep With Primary Headache In Siloam Hospital Karawaci

Medicinus ◽  
2021 ◽  
Vol 9 (1) ◽  
pp. 9
Author(s):  
Christin Andriani ◽  
Pricilla Yani Gunawan
Keyword(s):  
Case Control Study ◽  
Primary Headache ◽  
Case Control ◽  
Tension Type Headache ◽  
Common Type ◽  
Poor Sleep ◽  
Quality Of Sleep ◽  
Type Headache ◽  
Control Study

<p>A primary headache is the most common neurological complaint and is experienced by almost everyone throughout life.  The most common type of primary headache is TTH (Tension-Type Headache) and Migraine. Quality of sleep is associated with life satisfaction and data shows that one-third of adults are affected by poor sleep. Many studies have mentioned that there is a relationship between quality of sleep and primary headache, but no study has ever been conducted in Siloam Hospital Karawaci. We did a case-control study in Siloam Hospital Karawaci using purposive sampling, with a total of 50 patients as the subjects. Data were collected using the PSQI questionnaire and DASS 42 between January 2019 – March 2019. It was found that there was a significant relationship between sleep quality and primary headache (p= &lt;0,001).</p>

scholarly journals Body Mass Index and Primary Headache: A Hospital-Based Study in China

2019 ◽  
Vol 2019 ◽  
pp. 1-9
Author(s):  
Qingqing Huang ◽  
Huiqing Yu ◽  
Ningning Zhang ◽  
Bingling Guo ◽  
Changyan Feng ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Chronic Headache ◽  
Primary Headache ◽  
Tension Type Headache ◽  
Chief Complaint ◽  
Secondary Headache ◽  
Episodic Headache ◽  
Type Headache ◽  
Headache Patients

Objective. Primary headache and obesity are highly prevalent disorders in the general population. Although many studies have reported an association between the two, there is still no overall comprehension about this relationship. To gain a more accurate understanding in this regard, we analyzed data from a 2011 cross-sectional study in Chongqing, China. Methods. Patients with a chief complaint of headache were administered a headache questionnaire and diagnosed by neurology doctors in accordance with the International Classification of Headache Disorders 2nd Edition (ICHD-II) criteria. Patients aged < 18 years or diagnosed with secondary headache were excluded. Results. Of 1327 patients who cited headache as the chief complaint, 16 were excluded for missing data, while 396 were diagnosed with chronic headache (177 chronic migraine [CM], 186 chronic tension-type headache [CTTH], and 33 other chronic headache) and 915 with episodic headache (369 episodic migraine [EM], 319 episodic tension-type headache [ETTH], and 227 other episodic headache). Chronic headache patients had a higher number of headache days per month, longer duration of headache history, and greater tendency to overuse analgesics than episodic headache patients. The CM and ETTH patients were more apt to be overweight and had a significantly greater body mass index (BMI; p < 0.05) than the EM and CTTH patients. Overweight (odds ratio [OR] = 3.64; 95% confidence interval (CI), 1.19–8.81) and obesity (OR = 28.63; 95% CI, 2.96–276.6) were independently associated with CM but not with other headaches, and this association was not influenced by other factors such as medication overuse. Conclusions. The relationship between headache and overweight/obesity varies depending on the type of primary headache. CM patients are more likely to have a higher body mass index than EM patients, while ETTH patients are more likely to be overweight/obese than CTTH patients.

scholarly journals Quality of life in primary headaches and biofeedback effects

2010 ◽  
Vol 9 (2) ◽  
pp. 34-37
Author(s):  
N. L. Starikova
Keyword(s):  
Quality Of Life ◽  
Coping Strategies ◽  
Tension Type Headache ◽  
Anxiety And Depression ◽  
Primary Headaches ◽  
Strongly Correlated ◽  
Passive Coping ◽  
Type Headache ◽  
Headache Patients

Determinants of quality of life (QoL) in primary headaches remain unclear. We studied QoL in 107 patients (50 migraine patients, 57 tension-type headache — TTH-patients) and 10 healthy subjects. QoL in headache patients was reduced and strongly correlated with passive coping strategies preference, levels of anxiety and depression. In migraine QoL depended on duration of the disease, intensity of pain and MIDAS score. In TTH no clinical features of the disease influenced QoL. Biofeedback showed high effectiveness in primary headaches which depended on coping strategies of patients.

scholarly journals Primary headache diagnosis among chronic daily headache patients

2003 ◽  
Vol 61 (2B) ◽  
pp. 364-367 ◽  
Author(s):  
Abouch Valenty Krymchantowski
Keyword(s):  
Chronic Daily Headache ◽  
Primary Headache ◽  
Episodic Migraine ◽  
Tension Type Headache ◽  
Hemicrania Continua ◽  
Headache Diagnosis ◽  
Daily Headache ◽  
Type Headache ◽  
Persistent Headache ◽  
Headache Patients

Chronic daily headache (CDH) refers to a group of non-paroxysmal daily or near-daily headaches with peculiar characteristics that are highly prevalent in populations of neurological clinics and not uncommon among non-patient populations. Most of the patients with CDH had, as primary diagnosis, episodic migraine, which, with the time, presented a progressive frequency, pattern modification and loss of specific migraine characteristics. Other CDH patients had chronic tension-type headache, new daily persistent headache and hemicrania continua, which evolved thru the time to the daily or near-daily presentation. The objective of this study was to determine the primary headache diagnosis among a population of chronic daily headache patients attending a tertiary center for headache treatment. During a 5-year period 651 consecutive chronic daily headache patients attending a private subspecialty center were studied prospectively. The criteria adopted were those proposed by Silberstein et al (1994, revised 1996). Five hundred seventy four patients (88.1%) had episodic migraine as primary headache before turning into daily presentation, 52 (8%) had chronic tension-type headache, 14 (2.2%) had hemicrania continua and 11 patients (1.7%) had new daily persistent headache. CDH is quite frequent in patients from clinic-based studies suggesting a high degree of disability. Emphasis on education of patients suffering from frequent primary headaches with regard to measures that are able to decrease suffering and disability as well as better medical education directed to more efficient ways to handle these patients are necessary to improve outcome of such a prevalent condition.

Quality of Life in Children with Primary Headache in a General Hospital

Cephalalgia ◽  
2009 ◽  
Vol 29 (6) ◽  
pp. 624-630 ◽  
Author(s):  
J Bruijn ◽  
W-F Arts ◽  
H Duivenvoorden ◽  
N Dijkstra ◽  
H Raat ◽  
...  
Keyword(s):  
Quality Of Life ◽  
General Hospital ◽  
International Headache Society ◽  
Primary Headache ◽  
Tension Type Headache ◽  
Healthy Children ◽  
Life Domains ◽  
Paediatric Department ◽  
Type Headache

Knowledge on the quality of life of children with headache is lacking. Until now only a few studies in this field have provided information on a limited number of life domains. The aim of this study was to assess the quality of life in a comprehensive number of life domains in children with primary headache presenting at an out-patient paediatric department in a general hospital. From October 2003 to October 2005 all children referred to the out-patient paediatric department of the Vlietland Hospital because of primary headache were investigated by protocol. A thorough history was taken and a general physical and neurological examination was performed. The International Headache Society criteria were used for classification. Quality of life (QoL) was measured using the Dutch version of the Child Health Questionnaire (CHQ-PF50 Dutch edition) and compared with data from a previously investigated cohort of healthy children from the same region, and with data from a cohort of children from the USA with asthma or with attention deficit hyperactivity disorder (ADHD), investigated with the CHQ-PF50. A total of 70 primary headache patients were included in the study (25 with tension-type headache, 36 with migraine, seven with chronic tension-type headache, two with both tension-type headache and migraine). Their mean age was 10.6 years (range 4–17 years); 37 children were male. On all but one subscale (self-esteem) the QoL of the children with primary headache was decreased compared with the cohort of healthy children, especially on the domains of mental health, parental impact time and family cohesion. Compared with the cohort of children with asthma the QoL was significantly worse for our headache group on seven subscales and significantly better on one subscale (general health perception). Compared with the cohort of children with ADHD, the QoL was significantly worse on six subscales but significantly better on three subscales. There were no significant differences on any QoL subscale between children with tension-type headache and children with migraine. We conclude that the QoL in children with primary headache presenting at the out-patient paediatric department of a general hospital seems to be considerably diminished. Furthermore, we conclude that, in this population there is no difference in QoL between children with tension-type headache and those with migraine.

Primary Headache Care Delivery by Nonspecialists in Brazil

Cephalalgia ◽  
1999 ◽  
Vol 19 (5) ◽  
pp. 520-524 ◽  
Author(s):  
MB Vincent ◽  
JJ Freitas de Carvalho
Keyword(s):  
Care Delivery ◽  
Correct Diagnosis ◽  
Preventive Treatment ◽  
Primary Headache ◽  
Tension Type Headache ◽  
Headache Type ◽  
Type Headache ◽  
Headache Patients ◽  
Headache Care ◽  
Made In

Headaches are common disorders usually examined by nonneurologists. In order to assess how primary headache patients (IHS groups 1, 2, and 3) are generally managed by nonspecialists, 414 patients were asked about their previous headache care. Correct diagnosis had previously been made in only 44.9%, 6.7%, and 26.7% of the migraine, tension-type headache, and cluster headache patients, respectively. The patients underwent 501 investigative procedures motivated by the headache, averaging 1.21 examinations per patient, mostly EEGs. Preventive treatment was largely overlooked irrespective of the headache type. It is concluded that scientific improvements in headache care may be ineffective unless educational programs improve headache knowledge in general.

scholarly journals Osmophobia in primary headache patients: associated symptoms and response to preventive treatments

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Marianna Delussi ◽  
Anna Laporta ◽  
Ilaria Fraccalvieri ◽  
Marina de Tommaso
Keyword(s):  
Cluster Headache ◽  
Rating Scale ◽  
Preventive Treatment ◽  
Primary Headache ◽  
Tension Type Headache ◽  
Primary Headaches ◽  
Self Rating ◽  
Type Headache ◽  
Headache Center ◽  
Headache Patients

Abstract Background Osmophobia, is common among primary headaches, with prevalence of migraine. The study aimed to evaluate prevalence and clinical characteristics of patients with osmophobia in a cohort of primary headache patients selected at a tertiary headache center. The second aim was to verify the possible predicting role of osmophobia in preventive treatment response in a sub cohort of migraine patients. Methods This was an observational retrospective cohort study based on data collected in a tertiary headache center. We selected patients aged 18–65 years, diagnosed as migraine without aura (MO), migraine with aura (MA) or Chronic Migraine (CM), Tension-Type Headache (TTH); and Cluster Headache (CH). We also selected a sub-cohort of migraine patients who were prescribed preventive treatment, according to Italian Guidelines, visited after 3 months follow up. Patients were considered osmophobic, if reported this symptom in at least the 20% of headache episodes. Other considered variables were: headache frequeny, the migraine disability assessment (MIDAS), Allodynia Symptom Checklist, Self-rating Depression scale, Self-rating Anxiety scale, Pain intensity evaluated by Numerical Rating Scale-NRS- form 0 to 10. Results The 37,9% of patients reported osmophobia (444 patients with osmophobia, 726 without osmophobia). Osmophobia prevailed in patients with the different migraine subtypes, and was absent in patients with episodic tension type headache and cluster headache (chi square 68.7 DF 7 p < 0.0001). Headache patients with osmophobia, presented with longer hedache duration (F 4.91 p 0.027; more severe anxiety (F 7.56 0.007), depression (F 5.3 p 0.019), allodynia (F 6 p 0.014), headache intensity (F 8.67 p 0.003). Tension type headache patients with osmophobia (n° 21), presented with more frequent headache and anxiety. A total of 711 migraine patients was visited after 3 months treatment. The change of main migraine features was similar between patients with and without osmophobia. Conclusions While the present study confirmed prevalence of osmophobia in migraine patients, it also indicated its presence among chronic tension type headache cases, marking those with chronic headache and anxiety. Osmophobia was associated to symptoms of central sensitization, as allodynia. It was not relevant to predict migraine evolution after first line preventive approach.

Psychiatric co-morbidity among patients with primary headache

2020 ◽  
Vol 30 (2) ◽  
pp. 32-35
Author(s):  
Sifat E Syed ◽  
MSI Mullick ◽  
MA Hannan
Keyword(s):  
Psychiatric Disorder ◽  
Sampling Technique ◽  
Primary Headache ◽  
Cross Sectional Study ◽  
Tension Type Headache ◽  
Cross Sectional ◽  
Co Morbidity ◽  
Outpatient Departments ◽  
Type Headache ◽  
Headache Patients

Headache is the commonest complaint in neurology outpatient departments (OPD) and the co- existence of psychiatric disorders with headache is an established fact. This study was aimed to estimate the proportion of adult headache patients suffering from psychiatric co-morbidity and to see the possible association between headache pattern and psychiatric disorders.This cross sectional study was done among 51 sample of neurology OPD of BSMMU. International Classification of Headache Disorders (ICHD-3) was used to determine the types of headache and Mini International Neuropsychiatric Interview (MINI) was used to diagnose psychiatric disorder. Purposive sampling technique was used and data was collected using face-to-face interview from January, 2015 to June, 2015. New and old cases of primary headache of both sexes who were 15-65 years old were taken as samples. The results found that tension type headache was the commonest type of headache and total 62.7% of headache patients suffered from psychiatric disorder. Among them, 39.2% had depressive disorder and 17.6% had anxiety disorders. Logistic regression revealed that higher duration and frequency of headache was a predictor of having psychiatric comorbidity (OR= 1.7). This small study shows the need of larger research in this issue and also points out the importance of psychiatric intervention for headache patients. Bang J Psychiatry December 2016; 30(2): 32-35

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.

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