scholarly journals Headache Associated with Myasthenia Gravis: The Impact of Mild Ocular Symptoms

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
Yoshinori Nishimoto ◽  
Shigeaki Suzuki ◽  
Kimiaki Utsugisawa ◽  
Yuriko Nagane ◽  
Mamoru Shibata ◽  
...  
Keyword(s):  
Myasthenia Gravis ◽  
Chronic Headache ◽  
Female Gender ◽  
Tension Type Headache ◽  
Outpatient Clinics ◽  
Regression Analyses ◽  
Ocular Symptoms ◽  
Type Headache ◽  
The Impact

Myasthenia gravis (MG) patients visiting outpatient clinics frequently complain of headache. However, there have been few reports on the relation between chronic headache and myasthenia gravis (MG). We aimed to investigate whether MG symptoms affect the development or worsening of chronic headache. Among the 184 MG patients who were followed at the MG clinics, tension-type headache was observed in 71 (38.6%) patients and 9 (4.9%) complained of migraine. Twenty-five (13.6%) complained that headache appeared or was exacerbated after the MG onset. The investigation into differences in the clinical characteristics of the MG patients showed that women tended to suffer from MG-associated headache more often than men. Logistic regression analyses revealed that female gender and mild ocular symptoms were independently predictive of headache associated with MG. Our results suggest that treatment of chronic headache should be required to improve the quality of life in MG patients.

scholarly journals Incidental Treatment of a Subclinical Chronic Tension-Type Headache by Cosmetic Use of Botulinum Toxin A: A Case Report

2017 ◽  
Vol 9 (3) ◽  
pp. 249-253
Author(s):  
Iselin Saltvig ◽  
Steen Henrik Matzen
Keyword(s):  
Botulinum Toxin ◽  
Chronic Headache ◽  
Botulinum Toxin A ◽  
Tension Type Headache ◽  
Toxin A ◽  
Beneficial Effects ◽  
Migraine Headaches ◽  
Type Headache ◽  
Tension Type Headaches

Background: Headache is a common disorder of the nervous system; chronic headache in particular may affect quality of life negatively. The pathophysiology is multifactorial and not completely elucidated. Studies have demonstrated the beneficial effects of botulinum toxin A on chronic migraine headaches, but failed to show the same effect on chronic tension-type headaches. Methods: We present the case of a 32-year-old woman who after receiving cosmetic injections with botulinum toxin A for fine lines of the forehead experienced relief of subclinical tension-type headaches. Conclusions: Although the effect of botulinum toxin A on chronic tension-type headaches is limited, several studies demonstrate its pain-modulating effects, and as such it is worth paying attention to this potential beneficial effect when performing cosmetic injections with botulinum toxin A.

Headache in children: Effectiveness of multidisciplinary treatment in a tertiary paediatric headache clinic

Cephalalgia ◽  
2013 ◽  
Vol 33 (15) ◽  
pp. 1218-1228 ◽  
Author(s):  
Ann-Britt L Soee ◽  
Liselotte Skov ◽  
Lene Theil Skovgaard ◽  
Lise L Thomsen
Keyword(s):  
Chronic Headache ◽  
Medication Overuse Headache ◽  
Multidisciplinary Treatment ◽  
Tension Type Headache ◽  
Headache Frequency ◽  
Measurement Analysis ◽  
Headache Clinic ◽  
Type Headache

Aim The aim of this article is to evaluate the effectiveness of a specific multidisciplinary treatment programme for children with headache and to describe the concept and settings of the Children’s Headache Clinic in Denmark. Method All new patients were included and evaluations were conducted after six and 12 months. Pharmacological and non-pharmacological treatments were offered by a team of specialists (physicians, headache nurses, a physiotherapist and a psychologist). Patients The subjects comprised 169 children (mean age 11.7 (range 4–17), 91 females, 78 males), 39% of whom suffered from chronic headache (≥15 days/month). All children were diagnosed according to the International Classification of Headache Disorders, second edition; 20% had migraine, 34% tension-type headache, 27% mixed headache, 4% medication-overuse headache, and 15% were diagnosed with other types of headaches. Results Fifty per cent of the children had an improvement in headache frequency above 50% at six months. By the use of repeated measurement analysis, we found a significant decrease in headache frequency in all of the six headache groups, whereas the increase in quality of life (PedsQL™ 4.0) was significant for the group as a whole. Conclusion Though preliminary, the results show a good outcome for multidisciplinary treatment programmes for children who suffer from frequent or chronic headache.

Comparison of Children with Migraine and Those with Tension-Type Headache for Psychiatric Symptoms and Quality of Life

2019 ◽  
Author(s):  
Burak Sadettin Açıkel ◽  
Ayhan Bilgiç ◽  
Hatice Derin ◽  
Arzu Eroğlu ◽  
Ömer Faruk Akça ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Sleep Disturbances ◽  
Psychiatric Symptoms ◽  
Sleep Onset ◽  
Tension Type Headache ◽  
Control Group ◽  
Healthy Children ◽  
Type Headache ◽  
The Impact

AbstractThis study compared the severity of depression, anxiety, somatization, anxiety sensitivity, sleep disturbances, and quality of life (QoL) among children with migraine, children with tension-type headache (TTH), and healthy children. A total of 37 children with migraine, 22 with TTH, and a healthy control group (n = 35) participated in this study. Children with migraine exhibited higher depression and somatization and lower QoL scores than those in the control group. General sleep disturbances, bedtime resistance, sleep onset delay, sleep duration, sleep anxiety, night wakings, sleep-disordered breathing, and daytime sleepiness scores were also higher in those in the migraine group than in the control group. Regression models indicated that the severity of headache and depression scores significantly affected the QoLs of children with headache disorder as a whole. Migraine is associated with depression, somatization, sleep disturbances, and poor QoL, whereas TTH is associated with only sleep disturbances in childhood. The impact of headache on the QoL occurs mainly through the headache-specific and psychiatric factors.

Quality of life in adolescents with headache: Results from a population-based survey

Cephalalgia ◽  
2010 ◽  
Vol 30 (6) ◽  
pp. 713-721 ◽  
Author(s):  
Astrid Milde-Busch ◽  
Sabine Heinrich ◽  
Silke Thomas ◽  
Anja Kühnlein ◽  
Katja Radon ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Chronic Conditions ◽  
Population Based ◽  
Tension Type Headache ◽  
Physical Wellbeing ◽  
Type Headache ◽  
Stratified Analysis ◽  
The Impact ◽  
Population Based Survey

The aim of the investigation was to study the impact of headache on quality of life (QOL) in adolescents in a population-based sample ( N = 1047, aged between 13 and 17 years). QOL was assessed using the KINDL-R (Revidierter Kinder Lebensqualitätsfragebogen) questionnaire with its six dimensions. In order to assess potential differences in the impact on QOL according to the type of headache, a stratified analysis was performed. QOL differences compared to the ‘no headache’ group are presented with adjustment for socio-demographic confounders. Headache at least once per month was reported in 48% of the adolescents and accounted for a small but significant reduction of 2.5 points in the total KINDL-R score, which was mainly caused by a reduction in physical wellbeing by 6.8 points. Adolescents with migraine reported higher reductions in physical wellbeing and total QOL than subjects with tension-type headache (TTH). The size of the reduction in QOL scores was small but similar to that observed for other chronic conditions in adolescents. Headache prevention programs might therefore have an impact on QOL in adolescents.

scholarly journals Psychological, clinical, and therapeutic predictors of the outcome of detoxification in a large clinical population of medication-overuse headache: A six-month follow-up of the COMOESTAS Project

Cephalalgia ◽  
2018 ◽  
Vol 39 (1) ◽  
pp. 135-147 ◽  
Author(s):  
Sara Bottiroli ◽  
Marta Allena ◽  
Grazia Sances ◽  
Roberto De Icco ◽  
Micol Avenali ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Odds Ratio ◽  
Chronic Headache ◽  
Medication Overuse ◽  
Medication Overuse Headache ◽  
Tension Type Headache ◽  
Outcome Evaluation ◽  
Type Headache

Aim To identify factors that may be predictors of the outcome of a detoxification treatment in medication-overuse headache. Methods Consecutive patients entering a detoxification program in six centres in Europe and Latin America were evaluated and followed up for 6 months. We evaluated anxious and depressive symptomatology (though patients with severe psychiatric comorbidity were excluded), quality of life, headache-related disability, headache characteristics, and prophylaxis upon discharge. Results Of the 492 patients who completed the six-month follow up, 407 ceased overuse following the detoxification (non overusers), another 23 ceased overuse following detoxification but relapsed during the follow-up. In the 407 non-overusers, headache acquired an episodic pattern in 287 subjects (responders). At the multivariate analyses, lower depression scores (odds ratio = 0.891; p = 0.001) predicted ceasing overuse. The primary headache diagnosis – migraine with respect to tension-type headache (odds ratio = 0.224; p = 0.001) or migraine plus tension-type headache (odds ratio = 0.467; p = 0.002) – and the preventive treatment with flunarizine (compared to no such treatment) (odds ratio = 0.891; p = 0.001) predicted being a responder. A longer duration of chronic headache (odds ratio = 1.053; p = 0.032) predicted relapse into overuse. Quality of life and disability were not associated with any of the outcomes. Conclusions Though exploratory in nature, these findings point to specific factors that are associated with a positive outcome of medication-overuse headache management, while identifying others that may be associated with a negative outcome. Evaluation of the presence/absence of these factors may help to optimize the management of this challenging groups of chronic headache sufferers.

Evaluation of the Impact of Migraine and Episodic Tension‐type Headache on the Quality of Life and Performance of a University Student Population

2001 ◽  
Vol 41 (7) ◽  
pp. 710-719 ◽  
Author(s):  
Marcelo Eduardo Bigal ◽  
Janaína Maciel Bigal ◽  
Michelle Betti ◽  
Carlos Alberto Bordini ◽  
José Geraldo Speciali
Keyword(s):  
Quality Of Life ◽  
Tension Type Headache ◽  
Student Population ◽  
University Student ◽  
And Performance ◽  
Type Headache ◽  
The Impact

scholarly journals Quality of life research in patients suffering from tension type headache

2008 ◽  
Vol 61 (5-6) ◽  
pp. 215-221 ◽  
Author(s):  
Svetlana Simic ◽  
Petar Slankamenac ◽  
Aleksandar Kopitovic ◽  
Zita Jovin ◽  
Sofija Banic-Horvat
Keyword(s):  
Quality Of Life ◽  
Tension Type Headache ◽  
Control Group ◽  
Quality Of Life Research ◽  
Significant Difference ◽  
Headache Type ◽  
Type Headache ◽  
The Impact ◽  
Insight Into

The tension type headache is the most common headache type, which many men and women suffer from in one period of their life and aggravates business productivity, family and social functioning. Quality of life estimation in patients suffering from tension type headache enables us to get a better insight into the impact of the disease on the patient. The comparison among the quality of life in the patients suffering from tension type headache and the quality of life in the control group subjects has been carried out in a research by applying the QVM questionnaire. The obtained results have shown a significant difference in the quality of life and its sub domains indicating worse quality in the patients suffering from tension type headache.

scholarly journals Health-related quality of life in tension-type headache: a population-based study

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Sait Ashina ◽  
Dawn C. Buse ◽  
Jakob B. Bjorner ◽  
Lars Bendtsen ◽  
Ann C. Lyngberg ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Episodic Migraine ◽  
Tension Type Headache ◽  
Eysenck Personality Questionnaire ◽  
Health Related Quality ◽  
Self Rated Health ◽  
Related Quality ◽  
Health Related ◽  
Type Headache

Abstract Objectives Tension-type headache (TTH) is the most prevalent primary headache disorder. We assessed the cross-sectional impact of TTH on health related quality of life (HRQoL) in a general population. We also examined the association of HRQoL scores with headache frequency, disability, medication overuse, poor self-rated health, psychiatric comorbidity, and pain sensitivity in individuals with TTH. Methods A sample of 547 subjects completed a headache diagnostic interview, the SF-12 to calculate physical (PCS) and mental (MCS) health component scores, depression (major depression inventory [MDI]) and neuroticism (Eysenck Personality Questionnaire) measures. We defined the following headache diagnosis categories: pure TTH, pure migraine, and coexistent headache (TTH + migraine). Cases were further classified into chronic (≥15) or episodic (<15 headache days/month). Results Using generalized linear models (GLM) adjusted for age, sex and education, both PCS-12 and MCS-12 scores varied in groups distinguished by migraine and TTH status; scores were lower for individuals with coexistent headache (TTH + migraine; n=83), followed by pure TTH (n=97) and pure migraine (n=43) compared to the no headache group (n=324) (p≤0.001). In analyses considering chronicity, PCS-12 scores were lower in chronic coexistent headache followed by pure chronic TTH (CTTH), episodic migraine +/− episodic TTH (ETTH) and pure ETTH than in the no headache group (p≤0.001). MCS-12 scores were lower in pure CTTH, followed by chronic coexistent headache, episodic migraine +/− ETTH and pure ETTH compared to the no headache group (p≤0.001). Multiple regression models showed that in TTH, lower PCS-12 scores were associated with age (p=0.04), female sex (p=0.02), and poor self-rated health (p≤0.001). Lower MCS-12 scores in TTH were associated with depression (p≤0.001). Conclusions In a population sample, TTH, and to higher degree CTTH, are associated with decreased HRQoL.

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