scholarly journals Clinical Study of Non-Migraine Primary Headache and Secondary Headache Associated to Different Pathological Conditions

2021 ◽  
pp. 1-4
Author(s):  
Castejón OJ ◽  
Galindez P ◽  
Salones de Castejón M
Keyword(s):  
Facial Paralysis ◽  
Sensory Processing ◽  
Senile Dementia ◽  
Tension Headache ◽  
Primary Headache ◽  
Clinical Findings ◽  
Anxiety And Depression ◽  
Secondary Headache ◽  
Mood Changes ◽  
Parkinson Diseases

We have clinically examined 29 patients with non-migraine headache types (100%), eleven patients with headache and high blood hypertension associated with different pathologies (37%), ten patients with tension headache (34%), five cases with posttraumatic headache (17%), four cases with headache and microangiopathy and leukoencephalopathy (13%), three cases of tension headache (10%), three cases with headache and neurobehavioral disorders (anxiety and depression, mood changes, aggression) (10%), two cases with headache and facial paralysis (6.8%), one case headache with Alzheimer disease and senile dementia (3%), one case with headache and Parkinson diseases (3%), and one case with anaemia (3%) and metabolic disorders. The clinical findings are discussed in relationship with Retino-Hypothalamic-Pineal (RHP) axis, disturbances in normal sensory processing, sleep disorders, trigeminal neuralgia, facial paralysis, neurobehavioral and disorders. We have emphasized the differential diagnosis with migraine subtypes.

Posttraumatic Headache

2018 ◽  
Vol 38 (06) ◽  
pp. 619-626 ◽  
Author(s):  
Brigid Dwyer
Keyword(s):  
Tension Headache ◽  
Primary Headache ◽  
Secondary Headache ◽  
Postconcussion Syndrome ◽  
Posttraumatic Headache ◽  
Posttraumatic Epilepsy ◽  
Primary Headache Disorders ◽  
History Of ◽  
Military Populations ◽  
Patients Experience

AbstractPosttraumatic headaches are among the most challenging complaints after mild traumatic brain injury (mTBI). They are a debilitating problem experienced by patients after TBI of all severities. Up to 90% of mild TBI patients experience headache, particularly if female and with a premorbid history of primary headache. Tension headache has classically been the most common subtype, but in military populations migraine has dominated. Posttraumatic headache encompasses a spectrum of headache types that overlap heavily with common primary headache disorders, but also autonomic cephalgias as well as several secondary headache conditions. It is important to understand the evolution of postconcussion syndrome as a concept, and the challenges associated with diagnosing and treating multidomain drivers effectively. The first-line treatments for posttraumatic headache are typically the same as those used in nontraumatic headache, with additional considerations for cognitive side effects, posttraumatic epilepsy, and coexisting injuries resulting in neuropathic pain or medication overuse.

Differential diagnosis of tension headache and basic principles of treatment

2021 ◽  
pp. 48-53
Author(s):  
Lev Borisovich Shlopak
Keyword(s):  
Tension Headache ◽  
Primary Headache ◽  
World Health ◽  
Secondary Headache ◽  
Basic Principles ◽  
Organic Lesion ◽  
The Earth ◽  
Olfactory Stimuli ◽  
Principles Of Treatment ◽  
Health Organization

Headache (cephalalgia) is one of the most common symptoms and is a manifestation of more than 50 diseases. According to the World Health Organization, at least one episode of headache during a lifetime has occurred in almost every inhabitant of the Earth, and about half of them noted periodic headaches. In its etiology, cephalalgia can be primary, not associated with organic damage to tissues and organs, and secondary, which is based on pathological changes. In particular, cephalalgia in inflammatory lesions of the paranasal sinuses, brain tumors, encephalitis and meningitis, acute cerebrovascular accident, head trauma, arterial hypertension, aneurysm of the cerebral vessels, etc., should be attributed to the secondary headache. In 95–97 % of cases, the headache is not based on organic lesion, and in this case, the headache is primary. Primary cephalalgia can be based on both vegetative-vascular and metabolic-destructive changes. Primary headache can be noted with emotional or physical overstrain, exposure to a number of light, sound or olfactory stimuli, liquorodynamic or dysmetabolic disorders, when taking certain medications. Conventionally, primary headache can be divided into three groups — tension headache, migraine and cluster headache.

scholarly journals Drug-induced headache: an analysis of therapeutic strategies

2020 ◽  
Vol 12 (4) ◽  
pp. 25-31
Author(s):  
P. A. Merbaum ◽  
G. R. Tabeeva ◽  
A. V. Sergeev
Keyword(s):  
Tension Headache ◽  
Primary Headache ◽  
Developed Countries ◽  
Secondary Headache ◽  
Drug Induced ◽  
Treatment And Prevention ◽  
Symptomatic Headache ◽  
Drug Induced Headache

To manage patients with drug-induced headache (DIH) is an unsolved problem of modern neurology in developed countries, since DIH is becoming a common cause of temporary disability and leads to lower quality of life in patients. Patients with primary headache (for example, those with tension headache or migraine) frequently take symptomatic headache relief medications uncontrollably, which can result in the higher frequency and intensity of DIH episodes. In turn, new headache attacks make the patients take the increasing number of symptomatic medications, which leads to the development of DIH.The International Classification of Headache Disorders, 3 rd Edition, defines DIH as a distinct form of secondary headache. To date, there is no consensus on the tactics of DIH treatment and prevention. The paper discusses different approaches to DIH prevention and treatment, the effectiveness and appropriateness of their use, as well as factors influencing illness course and possible outcomes. Particular attention is paid to the management of patients during the withdrawal period, risk factors for DIH recurrences, and ways of their prevention.

scholarly journals Headache in Patients With Pituitary Lesions: A Longitudinal Cohort Study

Neurosurgery ◽  
2015 ◽  
Vol 78 (3) ◽  
pp. 316-323 ◽  
Author(s):  
Paul Rizzoli ◽  
Sherry Iuliano ◽  
Emma Weizenbaum ◽  
Edward Laws
Keyword(s):  
Primary Headache ◽  
Headache Disorder ◽  
Pituitary Surgery ◽  
Secondary Headache ◽  
Exact Nature ◽  
Questionnaire Response ◽  
Headache Diagnosis ◽  
Transsphenoidal Pituitary Surgery ◽  
The Relationship

Abstract BACKGROUND: Headache is a presenting feature in 37% to 70% of patients with pituitary tumor. Other pituitary lesions may also present with headache, and together these lesions account for about 20% of all primary brain lesions. Although pituitary lesions have been associated with headache, the exact nature of the relationship remains undefined. It is not always clear whether the presenting headache is an unrelated primary headache, a lesion-induced aggravation of a preexisting primary headache, or a separate secondary headache related to the lesion. OBJECTIVE: To characterize headache in patients referred to a multidisciplinary neuroendocrine clinic with suspected pituitary lesions and to assess changes in headache in those who underwent surgery. METHODS: We used a self-administered survey of headache characteristics completed by patients upon presentation and after any pituitary surgical procedure. RESULTS: One hundred thirty-three participants completed the preoperative questionnaire (response rate of 99%). The overall prevalence of headache was 63%. Compared to patients without headache, the group with headache was more likely to be female (P = .001), younger (P = .001), and to have had a prior headache diagnosis (P < .001). Seventy-two percent of patients reported headache localized to the anterior region of the head. Fifty-one patients with headache underwent transsphenoidal pituitary surgery. Headache was not associated with increased odds of having surgery (odds ratio, 0.90). At 3 months, 81% of surgically treated patients with headache who completed the postoperative questionnaire (21/26) reported improvement or resolution of headaches. No patient who completed the postoperative questionnaire (44/84) reported new or worsened headache. CONCLUSION: Frequent, disabling headaches are common in patients with pituitary lesions referred for neuroendocrine consultation, especially in younger females with a preexisting headache disorder. Surgery in this group was associated with headache improvement or resolution in the majority and was not found to cause or worsen headaches. Suggestions for revision of the International Classification of Headache Disorders diagnostic criteria pertaining to pituitary disorders are supported by these findings.

Characteristics of Brain Tumour-Associated Headache

Cephalalgia ◽  
2007 ◽  
Vol 27 (8) ◽  
pp. 904-911 ◽  
Author(s):  
CJ Schankin ◽  
U Ferrari ◽  
VM Reinisch ◽  
T Birnbaum ◽  
R Goldbrunner ◽  
...  
Keyword(s):  
Brain Tumour ◽  
Univariate Analysis ◽  
Positive Family History ◽  
Primary Headache ◽  
Tension Type Headache ◽  
Moderate Intensity ◽  
Secondary Headache ◽  
History Of ◽  
Type Headache

Eighty-five brain tumour patients were examined for further characteristics of brain tumour-associated headache. The overall prevalence of headache in this population was 60%, but headache was the sole symptom in only 2%. Pain was generally dull, of moderate intensity, and not specifically localized. Nearly 40% met the criteria of tension-type headache. An alteration of the pain with the occurrence of the tumour was experienced by 82.5%, implying that the preexisting and the brain tumour headaches were different. The classic characteristics mentioned in the International Classification of Headache Disorders (worsening in the morning or during coughing) were not found; this might be explained by the patients not having elevated intracranial pressure. Univariate analysis revealed that a positive family history of headache and the presence of meningiomas are risk factors for tumour-associated headache, and the use of β-blockers is prophylactic. Pre-existing headache was the only risk factor according to logistic regression, suggesting that patients with pre-existing (primary) headache have a greater predisposition to develop secondary headache. Dull headache occurs significantly more often in patients with glioblastoma multiforme, and pulsating headache in patients with meningioma. In our study, only infratentorial tumours were associated with headache location, and predominantly with occipital but rarely frontal pain.

scholarly journals Narrative Review of the Pathophysiology of Headaches and Photosensitivity in Mild Traumatic Brain Injury and Concussion

2018 ◽  
Vol 46 (1) ◽  
pp. 14-22 ◽  
Author(s):  
Christopher Mares ◽  
Jehane H. Dagher ◽  
Mona Harissi-Dagher
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Mild Traumatic Brain Injury ◽  
Primary Headache ◽  
Underlying Mechanism ◽  
Glutamate Excitotoxicity ◽  
Secondary Headache ◽  
Headache Disorders ◽  
Primary Headache Disorders ◽  
Post Traumatic

AbstractThe most common symptom of post-concussive syndrome (PCS) is post-traumatic headache (PTH) accompanied by photophobia. Post-traumatic headache is currently categorized as a secondary headache disorder with a clinical phenotype described by its main features and resembling one of the primary headache disorders: tension, migraine, migraine-like cluster. Although PTH is often treated with medication used for primary headache disorders, the underlying mechanism for PTH has yet to be elucidated. The goal of this narrative literature review is to determine the current level of knowledge of these PTHs and photophobia in mild traumatic brain injury (mTBI) in order to guide further research and attempt to discover the underlying mechanism to both symptoms. The ultimate purpose is to better understand the pathophysiology of these symptoms in order to provide better and more targeted care to afflicted patients. A review of the literature was conducted using the databases CINAHL, EMBASE, PubMed. All papers were screened for sections on pathophysiology of PTH or photophobia in mTBI patients. Our paper summarizes current hypotheses. Although the exact pathophysiology of PTH and photophobia in mTBI remains to be determined, we highlight several interesting findings and avenues for future research, including central and peripheral explanations for PTH, neuroinflammation, cortical spreading depolarization and the role of glutamate excitotoxicity. We discuss the possible neuroanatomical pathways for photophobia and hypothesize a possible common pathophysiological basis between PTH and photophobia.

Sensory processing sensitivity and its relation to parental bonding, anxiety, and depression

2005 ◽  
Vol 39 (8) ◽  
pp. 1429-1439 ◽  
Author(s):  
Miriam Liss ◽  
Laura Timmel ◽  
Kelin Baxley ◽  
Patrick Killingsworth
Keyword(s):  
Sensory Processing ◽  
Parental Bonding ◽  
Anxiety And Depression ◽  
Sensory Processing Sensitivity

Cluster Headache in Women: Clinical Findings and Relationship with Reproductive Life

Cephalalgia ◽  
1988 ◽  
Vol 8 (1) ◽  
pp. 37-44 ◽  
Author(s):  
Gian Camillo Manzoni ◽  
Giuseppe Micieli ◽  
Franco Granella ◽  
Emilia Martignoni ◽  
Stefano Farina ◽  
...  
Keyword(s):  
Cluster Headache ◽  
Clinical Features ◽  
Primary Headache ◽  
Clinical Findings ◽  
Control Groups ◽  
Female Population ◽  
Men And Women ◽  
Reproductive Life ◽  
Age Range

Cluster headache (CH) occurs rarely among women; for this reason only a limited number of studies have been reported on the characteristics of the disease in the female population. In this study, 82 females (age range, 14–72 years) with episodic (69 cases) or chronic (13 cases) CH were investigated. The clinical features of headache and the physiologic events related to reproductive life were compared with those of various control groups. We did not find any remarkable differences in clinical features between men and women. Unlike other forms of primary headache, the course of CH does not seem to be modified by menstruation, pregnancy, or puerperium. Finally, our data seem to confirm a hypofertility trend, mostly after onset of CH, which had previously been noticed by other authors.

scholarly journals 063 Headache with periorbital ecchymosis; a rare clinical entity

2019 ◽  
Vol 90 (e7) ◽  
pp. A20.3-A21
Author(s):  
Srimathy Vijayan ◽  
Carolyn Orr ◽  
Catherine Franconi
Keyword(s):  
Case Reports ◽  
Tension Headache ◽  
Primary Headache ◽  
Young Female ◽  
Clinical Entity ◽  
List Type ◽  
Treatment Regimens ◽  
Primary Headache Disorders ◽  
Headache Pain ◽  
Trigeminal Autonomic Cephalgia

ObjectivesPrimary headache disorders are common with migraine and tension headache accounting for the vast majority of cases. A smaller proportion suffer from trigeminal autonomic cephalgia (TAC). We present a 23-year-old Caucasian female who described characteristic, episodic headaches starting with a dull retro-orbital/bi-frontal pressure evolving, over the course of 1 minute, to experience florid periorbital ecchymosis. While this phenomenon has been described in the literature, the characteristics of our case are unique and noteworthy of reporting.MethodsWe reviewed the literature surrounding this rare entity by using PubMed/OVID databases and the search terms ‘Headache AND ecchymosis’.ResultsCase reports exist in older patients1–3, where the headache is side locked and associated with other autonomic characteristics such as periorbital oedema, conjunctival injection and tearing. Our case is a young female with only ecchymosis in a unilateral and/or bilateral manner and no other autonomic or indeed migraine features. The patient underwent vascular/cranial imaging and blood tests to exclude haematological, autoimmune, vasculitic causes for this presentation which were unrewarding.ConclusionVariations on this clinical entity are described;1–4 we hope this report may bring attention to this fascinating phenomenon. The pathophysiological process is likely to be similar to those implicated in TACs, namely activation of the trigemino-neurovascular system and facial autonomic pathways. The release of neuromediators such as CGRP, VIP and Substance P cause blood vessel fragility resulting in diapedesis. Optimal treatment regimens are unknown but various agents have been trialled. Our patient declined treatment and continues to be followed.ReferencesDeBroff B, et al. Migraine Associated with Periorbital Ecchymosis. Headache 1990;30:260–263.Dafer R, et al. Atypical Chronic Headache and Recurrent Facial Ecchymosis: A Case Report. Neuro-Ophthalmology 2011;35:76–77.Nozzolillo D, et al. Migraine associated with facial ecchymoses ipsilateral to the symptomatic side. J Headache Pain ( 2004) 5:256–259.Sethi PK, et al. Teaching neuroimages: Red forehead dot syndrome and migraine revisited. Neurology 2015;85;e28.

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