DOI: http://dx.doi.org/10.18203/2349-3933.ijam20162524

Clinical profile of patients with chronic headache in a tertiary care hospital

Senthil C., Gunasekaran N.

Abstract


Background: Headache is one of the most common maladies which affect humans. However, headache has no been sufficiently studied as a cause of morbidity in the developing world. The present study was conducted to study the etiological and clinical profile of chronic headache patients using the second edition of International Classification of Headache Disorders (ICHD-2), in a tertiary care referral centre.

Methods: The study included 100 patients with complaints of headache for more than 3 months attending the outpatient department of Government Royapettah hospital, Chennai, Tamil Nadu, India. Patients underwent thorough clinical examination and psychiatric evaluation and clinical investigations were done as and when required.

Results: Among the 100 patients with chronic headache, chronic primary headache (82%) was the most common type, with migraine found in 49% of cases, and tension-type headache (TTH) in 23%. Among the secondary types, the most common was headache caused by overuse of analgesics and post sinusitis. Chronic headaches were significantly more common in women and younger age groups.

Conclusions: Since more than 90% of headaches seen in practice are primary headaches, it is to be realised that matters have come a long way in the last decade and these is now enough evidence to prove that primary headaches are a genuine potentially treatable biological problem. This study would help in identifying the significant gaps in headache care and in strengthening existing health systems so that they better recognize headache disorders.


Keywords


Chronic headache, Primary headache, Migraine, Tension type headache

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References


Murtaza M, Kisat M, Daniel H, Sonawalla AB. Classification and clinical features of headache disorders in Pakistan: a retrospective review of clinical data. PLos. 2009;4 e5827.

Longe AC. Profile of Chronic headache patients in the ASIR region, Annals of Saudi Medicine.1998;18(6):562 -4.

Adelman JU. Headache and other facial pains. In: Greenberg JO, editor. Neuroimaging: a companion to Adam’s and Victor’s principles of Neurology, Newyork: McGraw Hill. 1995:83-107.

Stovner L, Hagen K, Jensen R, Katsavara Z, Lipton R, Scher A, et al. The global burden of headache: a documentation of headache prevalence and disability worldwide. Cephalagia. 2007;27:193-210.

Mateen FJ, Dua T, Steiner T, Saxena S. Headache disorders in developing countries: research over the past decade. Cephalagia. 2008.

Ravishankar K. Pitfalls in the diagnosis of primary headaches; Annals of Indian academy of Neurology. 2002;5:13-9.

Chakravarthy A. Chronic daily headache- a reappraisal, Annals of Indian Academy of Neurology. 2004;7:421-31.

Mack KJ, Hershey AD. Chronic daily headache in adolescence, a continuing problem; Neurology. 2009;73:412-3.

Wang SJ, Fuh JL, Lu SR Juang KD. Chronic daily headache in adolescents: prevalence, impact and medication overuse. Neurology. 2006;66:193-7.

Silva Jr AA, Tavares RM, Lara RP, Faleiros BE, Gomez RS, Teixeira AL. Frequency of types of headache in the tertiary care center of the Hospital, Brazil. Rev Assoc Med Bras. 2012;58(6):709-13.

Jain AP, Chauhan B, Bhat AD. Sociodemographic and clinical profile of headache, a rural hospital based study. Journal, Indian Academy of Clinical Medicine. 2007;8(1):26-8.

Chakravarthy A. Chronic daily headaches: Clinical Profile in Indian patients. Cephalagia. 2003;23:348-53.

Ravi G, Bhatia MS, Vishal C. Chronic daily headache: medication overuse and psychiatric morbidity. J Pak Psych Society. 2007;4:19-24.

Robbins L. Precipitating factors in migraine. A Retrospective Review of 494 patients. Headache. 1994;34(4):214-6.

Scharff L, Turk DC, Marcus DA. Trigger of headache episodes and coping responses of headache diagnostic groups. Headache. 1995;35(7):397-403.