ANALYSIS OF NEUROLOGICAL SOFT SIGNS IN PRIMARY HEADACHE PATIENTS
Journal Title: IJAR-Indian Journal of Applied Research - Year 2017, Vol 7, Issue 10
Abstract
Introduction: NSS correlates with neuroanatomical, neurocognitive abnormalities which represents defective neural intregration. Neurological examination is usually normal and investigations are non contributory in patients with primary headaches. NSS can be used to identify a specific subset of headache patients. Aim of Study: To assess neurological soft signs in primary headaches using Heidelberg scale. Materials and Methods: It is a crosssectional study of 60patients attending our headache and neurological OPD in RGGGH Chennai. Diagnosis of headache made by HIS criteria. Inclusion Criteria: Age >18 and < 60 years. H/O of > 1 to < 15 attacks / month. Exclusion Criteria: H/O intake of psychoactive medications,psychiatric illness, head trauma, secondary headaches. Results: Of the 60 patients examined 55 of them presented with migraine, 5 with tension type headache with a mean duration of 1 - 10 years. The NSS score was increased in patients with a longer duration of headache. 20 of the 60 had increased scores .6 of the 20 had increased scores in all the domains.7 of them had defective motor coordination,3 in spatial orientation, 4 in complex motor tasks. Only 5 patients had WMH lesions. Conclusion: Patients with chronicisation of headaches had increased NSS scores. Endophenotypes of psychiatric comorbitidies may be present which may be missed by routine clinical examination. Tailored pharmacotherapy may be beneficial and cost effective.
Authors and Affiliations
Thamilpavai N, Kannan Vellaichamy, Lakshminarasimhan R, Bhanu K
Keywords
Related Articles
- EP ID EP461049
- DOI -
- Views 38
- Downloads 0
EXTENT, PATTERN AND REASONS OF DEFAULTS IN SMEAR POSITIVE TUBERCULOSIS CASES- AN AMBISPECTIVE STUDY
Tuberculosis remains major health problem in India despite best available strategy of DOTS and robust regimens under RNTCP. HIV infections and sustained increase in Diabetes pose major challenge in making T.B. free India...
A Study of Prevalence of Overweight and Obesity in School Children
A total of 407 adolescent school children were included in the study from VII to X standards covering the age groups (10-15 yrs).The following Independent Variables (Dietary habits,Lifestyle patterns,Physical activity pa...
A Case Report of Acute Respiratory Distress Syndrome (ARDS) Complicating Influenza A/H1n1 Infection.
ARDS is characterized with bilateral parenchymal lung infiltrates on chest radiograph and PaO2 /FiO2 ratio < 200 resulting from causes other than acute left ventricular dysfunction. Inflammatory lung lesions may be induc...
DEXMEDETOMIDINE VERSUS FENTANYL AS AN ADJUVANT TO LOW DOSE INTRATHECAL BUPIVACAINE IN ELDERLY PATIENTS UNDERGOING LOWER LIMB ORTHOPAEDIC SURGERY
Introduction- Regional anaesthesia is the method of choice for most elderly patients undergoing elective lower limb orthopedic surgery since it results in reduced blood loss and transfusion needs, modification of the neu...
Students Perception Towards The Behaviour of Ksrtc Drivers and Conductors
Transport is the backbone of economic, cultural. Social and industrial development of any country by the role of creating time and place utility. Perception is a processes by which individual organises and interpret thei...